Provider Demographics
NPI:1164134847
Name:DALLOW, CINDY L (RD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:L
Last Name:DALLOW
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 1:1813 LEVIS RD
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-8145
Mailing Address - Country:US
Mailing Address - Phone:970-518-7469
Mailing Address - Fax:
Practice Address - Street 1:61 CYDNEY LANE
Practice Address - Street 2:61A
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498
Practice Address - Country:US
Practice Address - Phone:970-518-7469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered