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Organization
FOODS OF THE SPIRIT, LLC
Active
Organization
FOODS OF THE SPIRIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY PETTY MS, RDN, LDN (REGISTERED DIETITIAN)
(937) 554-0000
Entity
Organization
Contact information
Practice address
158 E 16TH ST APT A2, COOKEVILLE, TN 38501-1394
(937) 554-0000
Mailing address
158 E 16TH ST APT A2, COOKEVILLE, TN 38501-1394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
08/05/2024
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