Provider Demographics
NPI:1538662275
Name:ZILLIOX, DANIELLE R (RD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:ZILLIOX
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 LITTON LN STE 250-1012
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-9132
Mailing Address - Country:US
Mailing Address - Phone:513-620-5106
Mailing Address - Fax:
Practice Address - Street 1:2300 LITTON LN STE 250-1012
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-9132
Practice Address - Country:US
Practice Address - Phone:513-620-5106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY86021008133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered