Misty Marie Davidson, RD, LD

Registered Dietitian · Troy, MO

Individual Active NPI

NPI number 1508569708

Practice location

456 Bluff Dr
Troy, MO 63379-2040
Phone
(573) 338-2953

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NPI record

NPI
1508569708
Entity type
Individual (Type 1)
Enumeration date
March 24, 2023
Last updated
March 24, 2023
Certified
March 24, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 2015019220 MO
Registered Dietitian 133V00000X 3338 LA

About Misty Davidson

Misty Marie Davidson, RD, LD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 456 Bluff Dr, Troy, MO 63379-2040. The NPI number 1508569708 was assigned on March 24, 2023 and the record was last updated on March 24, 2023.

Misty Davidson lists 2 licenses in the registry: #2015019220 (MO) for Registered Dietitian; #3338 (LA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Misty Marie Davidson, RD, LD?

The NPI number is 1508569708.

What is the phone number of Misty Davidson?

The phone number listed for the practice location is (573) 338-2953.

Where is Misty Davidson located?

456 Bluff Dr, Troy, MO 63379-2040.

What is the taxonomy code for Misty Davidson?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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