| NPI | 1285516153 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MATTHEW CHRISTOPHER KOKOS Owner, Manager 509-652-2881  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | 
| Additional Taxonomies | 133V00000X Dietitian, Registered | 
| Enumeration Date | 2025-07-22 | 
| Last Update Date | 2025-09-25 |