| NPI | 1316783509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN PARTIPILO President/Owner 629-204-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| 171400000X Health & Wellness Coach | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |