Most Relevant Information
Provider Data
| NPI Number: | 1003658709 |
| Provider Name: | THERESE SMITH RDN, LD, ACSM-EP |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | LD.10340 |
Most Important Dates
| Enumeration Date: | 06/12/2024 |
| Last Updated: | 06/12/2024 |
Provider Practice Location
1925 ASCHINGER BLVD
COLUMBUS
OH
432122675
Practice Location Phone/Fax
| Phone: | 3309079594 |
| Fax: |
Provider Mailing Location
1925 ASCHINGER BLVD
COLUMBUS
OH
432122675
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |