Provider Demographics
NPI:1114587516
Name:TODYS, COURTNEY (RD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:TODYS
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 1:4410 JINX AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1027
Mailing Address - Country:US
Mailing Address - Phone:704-318-5339
Mailing Address - Fax:
Practice Address - Street 1:4410 JINX AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1027
Practice Address - Country:US
Practice Address - Phone:704-318-5339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered