Provider Demographics
NPI:1902131204
Name:RITTEREISER, MICHELLE ASHLEY (MS, RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ASHLEY
Last Name:RITTEREISER
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:ASHLEY
Other - Last Name:TRANTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CD
Mailing Address - Street 1:3150 W GOVERNMENT WAY
Mailing Address - Street 2:UNIT 203
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-1459
Mailing Address - Country:US
Mailing Address - Phone:602-510-1093
Mailing Address - Fax:
Practice Address - Street 1:904 7TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1132
Practice Address - Country:US
Practice Address - Phone:206-329-1760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL957985133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered