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

Watertown Medical Center LLC

Organization Registered Dietitian · NPI 1124495932

Watertown Medical Center LLC is a Registered Dietitian in Watertown, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Hospital Dr
Watertown, WI 53098-3303
Phone: (920) 262-4210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1124495932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Director · (502) 596-6063
NPI enumeratedAugust 27, 2015
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address680 S 4th St # Kh-3, Louisville, KY 40202-2407

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