Provider Demographics
NPI:1558132357
Name:GIRTON, SIERRA KAY (RD)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:KAY
Last Name:GIRTON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10212 N COUNTY ROAD 100 E
Mailing Address - Street 2:
Mailing Address - City:BRAZIL
Mailing Address - State:IN
Mailing Address - Zip Code:47834-7060
Mailing Address - Country:US
Mailing Address - Phone:812-244-9193
Mailing Address - Fax:
Practice Address - Street 1:10212 N COUNTY ROAD 100 E
Practice Address - Street 2:
Practice Address - City:BRAZIL
Practice Address - State:IN
Practice Address - Zip Code:47834-7060
Practice Address - Country:US
Practice Address - Phone:812-244-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics