Individual provider · Type 1 NPI

Richard Dean Wallace, LICAC

Nutritionist · Great Falls, MT

NPI number 1750458402 Active

Practice location

914 13th Ave South
Great Falls, MT 59405

Fax (406) 761-3038

Specialties and licenses

TaxonomyCodeLicense
Nutritionist Primary 133N00000X450 (MT)
Registered Dietitian 133V00000X450 (MT)
Acupuncturist 171100000X162 (MT)

Nutritionist: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or grad…

Other nutritionist providers in Great Falls

See all in Great Falls →

About NPI 1750458402

Richard Dean Wallace, LICAC's National Provider Identifier is 1750458402, issued on Nov 29, 2006. The primary taxonomy on file is Nutritionist (133N00000X), and the practice location is in Great Falls, MT. The record was last updated on Sep 11, 2025.