1013665637 NPI number — UNTAMED NUTRITION THERAPY, LLC

Table of content: (NPI 1013665637)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013665637 NPI number — UNTAMED NUTRITION THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNTAMED NUTRITION THERAPY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013665637
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
753 LAINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTEREY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93940-1130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-775-5008
Provider Business Mailing Address Fax Number:
844-444-0943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
621 FOREST AVE STE 3A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PACIFIC GROVE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93950-4264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-775-5008
Provider Business Practice Location Address Fax Number:
844-444-0943
Provider Enumeration Date:
03/13/2022

Additional Information

Authorized Official

Authorized Official Last Name:
BONE
Authorized Official First Name:
ALLISON
Authorized Official Middle Name:
LEIGH
Authorized Official Title or Position:
FOUNDER/DIRECTOR
Authorized Official Telephone Number:
517-775-5008

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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