Provider Demographics
NPI:1750894127
Name:TOTH, ALLISON MARIE (RDN, LD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:TOTH
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 EASTLAND AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-1705
Mailing Address - Country:US
Mailing Address - Phone:270-796-6596
Mailing Address - Fax:
Practice Address - Street 1:1857 TUCKER WAY STE B
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-6258
Practice Address - Country:US
Practice Address - Phone:270-796-6596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174488133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered