Provider Demographics
NPI:1245300490
Name:HALL, BETH T (RDN, LN)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:T
Last Name:HALL
Suffix:
Gender:F
Credentials:RDN, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 24TH ST W STE 1-1036
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4771
Mailing Address - Country:US
Mailing Address - Phone:406-850-0216
Mailing Address - Fax:855-738-7798
Practice Address - Street 1:100 24TH ST W STE 1-1036
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4771
Practice Address - Country:US
Practice Address - Phone:406-850-0216
Practice Address - Fax:855-738-7798
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT498133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered