Provider Demographics
NPI:1740868595
Name:MEIXNER, MAKAYLA (RDN)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:
Last Name:MEIXNER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5436
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-5436
Mailing Address - Country:US
Mailing Address - Phone:608-770-7619
Mailing Address - Fax:
Practice Address - Street 1:511 METCALF RD APT L35
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-6549
Practice Address - Country:US
Practice Address - Phone:608-770-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered