# PURELY ROOTED NUTRITION AND WELLNESS

> 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
- **Other names:** Purely Rooted Nutrition and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528651064
- **Authorized official:** MARY KATHRYN GOWDY MS, CNS, LDN, CHHP (CLINICAL NUTRITIONIST)
- **Authorized official phone:** (814) 777-8919

## Contact information

- **Practice address:** 850 GALEN DR, STATE COLLEGE, PA 16803-1164
- **Practice address phone:** (814) 777-8919
- **Mailing address:** 850 GALEN DR, STATE COLLEGE, PA 16803-1164
- **Mailing address phone:** (814) 777-8919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 02/16/2021