Provider Demographics
NPI:1326297755
Name:KRIER, TERI A (RD, CD)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:A
Last Name:KRIER
Suffix:
Gender:F
Credentials:RD, CD
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CD, MS, CNSC
Mailing Address - Street 1:N17W26538 MEADOWGRASS CIR UNIT F
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-6672
Mailing Address - Country:US
Mailing Address - Phone:920-819-2280
Mailing Address - Fax:
Practice Address - Street 1:N17W26538 MEADOWGRASS CIR UNIT F
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-6672
Practice Address - Country:US
Practice Address - Phone:920-819-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI988373133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered