Provider Demographics
NPI:1912767096
Name:ZEIGER, AMANDA (RD,LD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:ZEIGER
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S TREASURE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-7845
Mailing Address - Country:US
Mailing Address - Phone:214-727-3542
Mailing Address - Fax:
Practice Address - Street 1:660 S BAGDAD RD STE 310
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5049
Practice Address - Country:US
Practice Address - Phone:737-777-0509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86460133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered