IndividualActive
Beverly Tata, R.D., L.D.
NPI 1013284470 · Registered Dietitian · Oregon, OH
Provider details
- NPI number
- 1013284470
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D., L.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 6806 (OH)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone: (419) 690-8722
Approximate (ZIP-level) locationGet directions
Mailing address
2801 Bay Park Dr
Oregon, OH 43616-4920
Registry dates
- Enumerated
- 2011-11-29
- Last updated
- 2011-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.