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Organization
PRACTICAL NUTRITION THERAPY LLPC
Active
Organization
PRACTICAL NUTRITION THERAPY LLPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN KIRK MS, RD (DIRECTOR)
(662) 213-7305
Entity
Organization
Contact information
Practice address
2311 LOVITT DR, MEMPHIS, TN 38119-7228
(662) 213-7305
Mailing address
2311 LOVITT DR, MEMPHIS, TN 38119-7228
(662) 213-7305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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