Individual provider · Type 1 NPI

Emily Peck, DTR

Registered Dietetic Technician · Fort Worth, TX

NPI number 1326405697 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Fax (682) 885-1985

Mailing address

PO Box 99371
Fort Worth, TX 76199-0371

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000XNone 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…

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About NPI 1326405697

Emily Peck, DTR's National Provider Identifier is 1326405697, issued on Jan 18, 2016. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 18, 2016.