Individual provider · Type 1 NPI

Tara L. Spisak, RD, LD, CDE

Registered Dietitian · Archbold, OH

NPI number 1134433618 Active

Practice location

121 Westfield Dr Ste 1
Archbold, OH 43502-1005

Fax (419) 445-8102

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD.4906 (OH)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1134433618

Tara L. Spisak, RD, LD, CDE's National Provider Identifier is 1134433618, issued on Jul 27, 2010. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Archbold, OH. The record was last updated on Jun 29, 2026.