Provider Demographics
NPI:1073126355
Name:THRASHER, STEVEN (MS, RDN)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:THRASHER
Suffix:
Gender:M
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 MORNINGSIDE DR NW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-4301
Mailing Address - Country:US
Mailing Address - Phone:256-758-3776
Mailing Address - Fax:
Practice Address - Street 1:2003 MORNINGSIDE DR NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-4301
Practice Address - Country:US
Practice Address - Phone:256-758-3776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3183133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered