| NPI | 1225807613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY KONTAXES Owner 814-720-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |