Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Lynn Henderson, RDLD

Individual provider Registered Dietitian · NPI 1528373313

Stephanie Lynn Henderson, RDLD is a Registered Dietitian in Blackfoot, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2010
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Practice location Address checks out

1555 Vernon Ave
Blackfoot, ID 83221
Phone: (307) 399-0139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-629 (ID)

Record details

NPI number1528373313
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorYes
NPI enumeratedAugust 17, 2010
Last updated in NPPESJuly 7, 2011

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