| NPI | 1922731579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE PENICK Owner 913-735-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |