Provider Demographics
NPI:1982295689
Name:KURTH, TERESA (RD, LDN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:KURTH
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 TUBEROSE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-5656
Mailing Address - Country:US
Mailing Address - Phone:865-315-8477
Mailing Address - Fax:
Practice Address - Street 1:1550 WALL ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3545
Practice Address - Country:US
Practice Address - Phone:314-275-0658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered