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

Keely Bourassa, RD

Individual provider Registered Dietitian · NPI 1417643149

Keely Bourassa, RD is a Registered Dietitian in Terre Haute, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1200 S Center St
Terre Haute, IN 47802-1118
Phone: (317) 753-7308
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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 37003359A (IN)

Record details

NPI number1417643149
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023
Mailing address1200 S Center St, Terre Haute, IN 47802-1118

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