IndividualActive
Andrea Johnson, MA, RD, CLT
NPI 1033416607 · Registered Dietitian · Missoula, MT
Provider details
- NPI number
- 1033416607
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MA, RD, CLT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 496 (MT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
825 W Kent Ave
Missoula, MT 59801-6619
Phone: (406) 370-5322
Approximate (ZIP-level) locationGet directions
Mailing address
1306 Linnea Ln
Missoula, MT 59801-3223
Registry dates
- Enumerated
- 2011-02-17
- Last updated
- 2011-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.