Holly Retherford, RDN, LDN
Dietitian, Registered in Gibson City, IL. Individual provider (NPI-1).
NPI number1689200750
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1689200750
- Entity type
- Individual (NPI-1)
- Name
- Holly Retherford
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2020
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Holly Tompkins (Former Name)
Practice location
1120 N Melvin StGibson City, IL 60936-1477
Phone 217-784-2865
Mailing address
1120 N Melvin StGibson City, IL 60936-1477
Phone 217-784-4251
Other practice locations
1400 W Park St
Urbana, IL 61801-2334
Urbana, IL 61801-2334
Phone 217-337-2000
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