Provider Demographics
NPI:1508680380
Name:RALL, CATHERINE (RDN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:RALL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 N PENNSYLVANIA ST APT 305
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3237
Mailing Address - Country:US
Mailing Address - Phone:860-942-0226
Mailing Address - Fax:
Practice Address - Street 1:1020 N PENNSYLVANIA ST APT 305
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3237
Practice Address - Country:US
Practice Address - Phone:860-942-0226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered