# TKS NUTRITION, LLC

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

## Provider details

- **NPI number:** 1811126980
- **Authorized official:** TRACEY K SINIBALDI RD (OWNER/ REGISTERED DIETITIAN)
- **Authorized official phone:** (302) 897-2088

## Contact information

- **Practice address:** 244 MANCHESTER WAY, MIDDLETOWN, DE 19709-2132
- **Practice address phone:** (302) 897-2088
- **Practice address fax:** (302) 376-9261
- **Mailing address:** 244 MANCHESTER WAY, MIDDLETOWN, DE 19709-2132
- **Mailing address phone:** (302) 897-2088
- **Mailing address fax:** (302) 376-9261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 208206179 | DE | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 07/09/2009