Individual provider · Type 1 NPI
Holly Niemann
Registered Dietetic Technician · Mascoutah, IL
Practice location
615 N Lebanon St
Mascoutah, IL 62258-1448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietetic Technician Primary | 136A00000X | None listed |
Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…
About NPI 1023915303
Holly Niemann's National Provider Identifier is 1023915303, issued on Oct 21, 2026. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Mascoutah, IL. The record was last updated on Oct 21, 2026.