# EMBODIED NUTRITION LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1053906917
- **Authorized official:** ERIN KUTA MPH, RD, LDN (OWNER)
- **Authorized official phone:** (781) 222-4640

## Contact information

- **Practice address:** 301 EDGEWATER PL STE 100, WAKEFIELD, MA 01880-1281
- **Practice address phone:** (781) 222-4640
- **Mailing address:** 301 EDGEWATER PL STE 100, WAKEFIELD, MA 01880-1281
- **Mailing address phone:** (781) 222-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 03/03/2021