IndividualActive
Brittney Moutray, RD LDN CDE
NPI 1114234085 · Registered Dietitian · Forsyth, IL
Provider details
- NPI number
- 1114234085
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD LDN CDE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164005188 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
241 W Weaver Rd
Suite 210
Forsyth, IL 62535
Phone: (217) 876-5370
Fax: (217) 876-5375
Approximate (ZIP-level) locationGet directions
Mailing address
925 West St
Peru, IL 61354-2757
Registry dates
- Enumerated
- 2010-09-13
- Last updated
- 2018-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.