Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Poutheavy Lat Tep-Rutkowski, MS, RD, LD

Individual provider Registered Dietitian · NPI 1568148948

Poutheavy Lat Tep-Rutkowski, MS, RD, LD is a Registered Dietitian in Snellville, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

2295 Ronald Reagan Pkwy Ste 300
Snellville, GA 30078-5739
Phone: (770) 982-4115
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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 86296100 (GA)

Record details

NPI number1568148948
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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