Michael David Reavis JR., MS, RD, LDN
NPI #1245906585 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1245906585
- Entity Type
- Individual
- Name
- Michael David Reavis JR., MS, RD, LDN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered - Nutrition, Sports Dietetics
- Credential
- MS, RD, LDN
- Enumeration Date
- Aug 17, 2021
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 8388 COURT AVE
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-5200
- Phone
- (240) 646-6768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Sports Dietetics — Nutrition, Sports Dietetics |
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