IndividualActive
Liesel Maddox, RDN
NPI 1225646839 · Registered Dietitian · Boulder, CO
Liesel Maddox, RDN is a Registered Dietitian provider in Boulder, CO (NPI 1225646839).
Provider details
- NPI number
- 1225646839
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- License
- 86151077 (TX)
Practice location
1942 Broadway Ste 314c
Boulder, CO 80302-5233
Phone: (719) 445-9573
Street-level locationGet directions
Mailing address
1942 Broadway Ste 314c
Boulder, CO 80302-5233
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2024-03-07
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.