IndividualActive
Laura Smith, DTR
NPI 1720678014 · Registered Dietetic Technician · Boise, ID
Provider details
- NPI number
- 1720678014
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2692 N Kristy Ave
Kuna, ID 83634-5258
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.