Provider Demographics
NPI:1508685462
Name:SAGLE, ABBY (MPH,RD,LD)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:
Last Name:SAGLE
Suffix:
Gender:F
Credentials:MPH,RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 VISTA AVE # 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1015
Mailing Address - Country:US
Mailing Address - Phone:443-955-3424
Mailing Address - Fax:
Practice Address - Street 1:3531 VISTA AVE # 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1015
Practice Address - Country:US
Practice Address - Phone:443-955-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86374843133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered