| NPI | 1528586633 |
|---|---|
| Doing Business As | HIGH PERFORMANCE SPORTS NUTRITION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH KELLY Owner / Director 612-990-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2026-03-29 |