IndividualActive
Alessia Thacker, RD
NPI 1619739703 · Registered Dietitian · Palm Harbor, FL
Provider details
- NPI number
- 1619739703
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 006315 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
3579 Landmark Trl
Palm Harbor, FL 34684-5017
Phone: (813) 360-7177
Approximate (ZIP-level) locationGet directions
Mailing address
3579 Landmark Trl
Palm Harbor, FL 34684-5017
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2025-07-12
- Certified
- 2025-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.