# FUEL WITH PURPOSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043028509
- **Authorized official:** MRS. ELAINE WANSTREET RD, CSSD (SPORTS DIETITIAN)
- **Authorized official phone:** (405) 985-1417

## Contact information

- **Practice address:** 5928 CONKRIGHT LN, WEST LAFAYETTE, IN 47906-8548
- **Practice address phone:** (405) 985-1417
- **Mailing address:** 5928 CONKRIGHT LN, WEST LAFAYETTE, IN 47906-8548
- **Mailing address phone:** (405) 985-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2024
- **Last updated:** 12/30/2024