| NPI | 1740896687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MCCOY Owner 307-222-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |