MRS. Amanda Rae Motl, RD, CD, CDE

NPI #1982073557 in Summit, Wisconsin

Provider Information

NPI Number: 1982073557
Entity Type: Individual
Name: MRS. Amanda Rae Motl, RD, CD, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, CD, CDE
Enumeration Date: Sep 24, 2015
Last Updated: Sep 24, 2015

Practice Location

Address: 36500 AURORA DR
City: Summit
State: Wisconsin
ZIP Code: 53066-4899
Phone: (262) 434-2247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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