Etta J. Phillips, MS,RD,LD

Nutritionist · Dayton, OH

Individual Active NPI

NPI number 1972609774

Practice location

1550 Kipling Dr
Dayton, OH 45406-4227
Phone
(937) 275-7185

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NPI record

NPI
1972609774
Entity type
Individual (Type 1)
Enumeration date
September 16, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nutritionist Primary 133N00000X 1853 OH

About Etta Phillips

Etta J. Phillips, MS,RD,LD is a healthcare provider registered in the NPI registry with the primary taxonomy Nutritionist (code 133N00000X). The practice location is 1550 Kipling Dr, Dayton, OH 45406-4227. The NPI number 1972609774 was assigned on September 16, 2006 and the record was last updated on July 8, 2007.

Etta Phillips lists a license in the registry: #1853 (OH) for Nutritionist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Etta J. Phillips, MS,RD,LD?

The NPI number is 1972609774.

What is the phone number of Etta Phillips?

The phone number listed for the practice location is (937) 275-7185.

Where is Etta Phillips located?

1550 Kipling Dr, Dayton, OH 45406-4227.

What is the taxonomy code for Etta Phillips?

The primary taxonomy code is 133N00000X – Nutritionist.

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.