Individual provider · Type 1 NPI

Keely Bourassa, RD

Registered Dietitian · Terre Haute, IN

NPI number 1417643149 Active

Practice location

1200 S Center St
Terre Haute, IN 47802-1118

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37003359A (IN)

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 1417643149

Keely Bourassa, RD's National Provider Identifier is 1417643149, issued on Apr 14, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Terre Haute, IN. The record was last updated on Apr 21, 2023.