Individual provider · Type 1 NPI

Susan Dethman, CDR

Registered Dietitian · Wewoka, OK

NPI number 1356340442 Active

Practice location

Hwy 56 & 270 Junction
Wewoka, OK 74884

Fax (405) 257-2696

Mailing address

PO Box 1475
Wewoka, OK 74884-1475

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XT202394 (TX)

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…

9 other providers at this address

About NPI 1356340442

Susan Dethman, CDR's National Provider Identifier is 1356340442, issued on Jul 20, 2005. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Wewoka, OK. The record was last updated on Jul 13, 2026.