# MEDICAL NUTRITIONAL THERAPISTS, INC.

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

## Provider details

- **NPI number:** 1891801791
- **Authorized official:** JAMES A HOLB RD LD CDE (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (260) 489-9009

## Contact information

- **Practice address:** 410 FINZER STREET \#302, LOUISVILLE, KY 40203
- **Practice address phone:** (800) 245-9009
- **Practice address fax:** (260) 489-5057
- **Mailing address:** 4210 FLAGSTAFF CV, FORT WAYNE, IN 46815-4417
- **Mailing address phone:** (260) 489-9009
- **Mailing address fax:** (260) 489-5057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020