IndividualActive
Abby Tibodeau, RD, LD
NPI 1912471665 · Registered Dietitian · Mankato, MN
Provider details
- NPI number
- 1912471665
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 3033 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1230 E Main St
Mankato, MN 56001-5066
Phone: (507) 625-1811
Approximate (ZIP-level) locationGet directions
Mailing address
120 Mallard Ct
Mankato, MN 56001-1860
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.