Bandy Jo Rackley in Lawton - Nutrition, Renal
Bandy Jo Rackley - NPI 1033188743
Bandy Jo Rackley is a Nutrition, Renal in Lawton, Oklahoma. Bandy Jo Rackley practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Bandy Jo Rackley is 1033188743. The last update date is 2022-07-22.
Bandy Jo Rackley's current location address is 5110 W Gore Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5807133123. The mailing address for Bandy Jo Rackley is 5110 W Gore Blvd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bandy Jo Rackley |
|---|---|
| Address | 5110 W Gore Blvd, Lawton, Oklahoma |
| Phone Number | 5807133123 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1033188743 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2022-07-22 |
Provider Mailing Address Detail
| Address | 5110 W Gore Blvd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735055909 |
| Phone Number | 5807133123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the unique identifier code issued to Bandy Jo Rackley by the Centers for Medicare & Medicaid Services?
The Bandy Jo Rackley has been assigned the NPI (National Provider Identifier) 1033188743. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bandy Jo Rackley's facilities are situated?
The facilities of Bandy Jo Rackley are physically located at the following address: 5110 W Gore Blvd, Lawton, OK, 735055909.
What is the Bandy Jo Rackley's specialty and taxonomy code?
The Bandy Jo Rackley's specialty is Nutrition, Renal, and the corresponding taxonomy code is 133Vn1005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033188743 to Bandy Jo Rackley?
The Bandy Jo Rackley received its 1033188743 assignment from the Centers for Medicare & Medicaid Services on 2006-03-15.
As of what date was the information pertaining to Bandy Jo Rackley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bandy Jo Rackley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-22.