Provider Demographics
NPI:1821134446
Name:TROUP, RASA (MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:RASA
Middle Name:
Last Name:TROUP
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 E RIVER TER
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3646
Mailing Address - Country:US
Mailing Address - Phone:612-708-1744
Mailing Address - Fax:612-379-4871
Practice Address - Street 1:431 S 7TH ST STE 2402
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1801
Practice Address - Country:US
Practice Address - Phone:612-708-1744
Practice Address - Fax:612-379-4871
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN959138133VN1501X
MN2491133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics