| NPI | 1770424764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIYA KOMASYUK Director 702-871-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 251X00000X Supports Brokerage | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 172V00000X Community Health Worker | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-04-06 |