IndividualActive
Alexis Tackmann, RD
NPI 1407053085 · Registered Dietitian · Minneapolis, MN
Provider details
- NPI number
- 1407053085
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 972389 (MN)
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3693
Fax: (612) 904-4326
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.