IndividualActive
Kathleen Mcinnis, PHD, RD, LD
NPI 1033711486 · Sports Dietetics Nutrition Registered Dietitian · Austin, TX
Provider details
- NPI number
- 1033711486
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- PHD, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT83784 (TX)
Mailing address
1604 Bauerle Ave
Austin, TX 78704-3302
Registry dates
- Enumerated
- 2020-11-11
- Last updated
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.