Provider Demographics
NPI:1295533891
Name:MARTIN, EMILY TOMAYKO (PHD, RD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:TOMAYKO
Last Name:MARTIN
Suffix:
Gender:
Credentials:PHD, RD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JAYNE
Other - Last Name:TOMAYKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3019 S 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3753
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3019 S 30TH AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3753
Practice Address - Country:US
Practice Address - Phone:706-296-7239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered