Tibodeau, Abby Jo

Tibodeau, Abby Jo is an individual health care provider with primary practice located at 1230 E Main St , Mankato MN 56001-5066. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tibodeau, Abby Jo can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato MN 56001-5066
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 3033 Minnesota

Profile Details

NPI number 1912471665
LBN Legal business name Tibodeau, Abby Jo
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Jul 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers