Provider Demographics
NPI:1356746051
Name:GEDDIS, RACHEL ELIZABETH (MS, RDN)
Entity type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:GEDDIS
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3237
Mailing Address - Country:US
Mailing Address - Phone:814-242-1910
Mailing Address - Fax:
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3237
Practice Address - Country:US
Practice Address - Phone:814-242-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered