| NPI | 1114973500 |
|---|---|
| Doing Business As | HACKLEY NUTRITIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOHMAN Dir Phy Network Finan Servi 231-727-4499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-01-19 |