Individual provider · Type 1 NPI

Jonathan Shane Clack, MS, RD, LD

Registered Dietitian · Weatherford, TX

NPI number 1801230685 Active

Practice location

805 Terry Trl
Weatherford, TX 76086-4601

Call (817) 629-0420 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDT82634 (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…

Another provider at this address

Other registered dietitian providers in Weatherford

See all in Weatherford →

About NPI 1801230685

Jonathan Shane Clack, MS, RD, LD's National Provider Identifier is 1801230685, issued on Apr 23, 2013. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Weatherford, TX. The record was last updated on Jun 19, 2018.