Provider Demographics
NPI:1578387429
Name:RAWSON, KASIE ELIZABETH (RDN, LD)
Entity type:Individual
Prefix:
First Name:KASIE
Middle Name:ELIZABETH
Last Name:RAWSON
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10909 SENTINEL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-2834
Mailing Address - Country:US
Mailing Address - Phone:413-329-6360
Mailing Address - Fax:
Practice Address - Street 1:4501 SPICEWOOD SPRINGS RD STE 1022
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8543
Practice Address - Country:US
Practice Address - Phone:512-257-0898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT89768133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered