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Organization
BACK ON TRACK NUTRITION LLC
Active
Organization
BACK ON TRACK NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATY CHRISTINN STEMPLE MDA, RDN (OWNER, REGISTERED DIETITIAN)
(928) 368-3645
Entity
Organization
Contact information
Practice address
6625 S RURAL RD STE 111, TEMPE, AZ 85283-3717
(480) 253-9547
Mailing address
15018 N SANTIAGO PL, FOUNTAIN HILLS, AZ 85268-1625
(928) 368-3645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/29/2020
Last updated
11/29/2022
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