| NPI | 1063979961 |
|---|---|
| Doing Business As | HEALTHY TRANSITIONS FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | CHAD HETHERWICK Registered Dietitian Nutritionist 928-772-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-11-03 |