IndividualActive
Tavis Piattoly, MS, RD, LDN
NPI 1619518677 · Sports Dietetics Nutrition Registered Dietitian · Covington, LA
Provider details
- NPI number
- 1619518677
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LDN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1652 (LA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3 Wickfield Dr
Covington, LA 70433-6816
Phone: (504) 250-3325
Approximate (ZIP-level) locationGet directions
Mailing address
3 Wickfield Dr
Covington, LA 70433-6816
Registry dates
- Enumerated
- 2019-10-01
- Last updated
- 2019-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.