Provider Demographics
NPI:1831491315
Name:SCHULDT, RITA MARIE (RD, LD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:SCHULDT
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19531 299TH AVE
Mailing Address - Street 2:
Mailing Address - City:AKELEY
Mailing Address - State:MN
Mailing Address - Zip Code:56433-8082
Mailing Address - Country:US
Mailing Address - Phone:218-652-4526
Mailing Address - Fax:
Practice Address - Street 1:115 6TH ST. NW STE. 6
Practice Address - Street 2:
Practice Address - City:CASS LAKE
Practice Address - State:MN
Practice Address - Zip Code:56633
Practice Address - Country:US
Practice Address - Phone:218-335-4546
Practice Address - Fax:218-335-4560
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1316133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered