Individual provider · Type 1 NPI

Theresa D. Klose

Registered Dietitian · Mafb, AL

NPI number 1467447946 Active

Practice location

700 Twining Street
Mafb, AL 36112

Fax (334) 953-8296

Mailing address

3181 Old Mill Run
Millbrook, AL 36054-2810

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1494 (AL)

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…

About NPI 1467447946

Theresa D. Klose's National Provider Identifier is 1467447946, issued on Sep 12, 2005. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Mafb, AL. The record was last updated on Jul 13, 2026.