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Organization
CREATIVELY WELL LLC
Active
Organization
CREATIVELY WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARTIN MS, RD, LD (OWNER)
(417) 209-4540
Entity
Organization
Contact information
Practice address
5508 NW MOONLIGHT MEADOW DR, LEES SUMMIT, MO 64064-1283
(417) 209-4540
(800) 861-1359
Mailing address
18423 MARIES ROAD 505, DIXON, MO 65459-7465
(417) 209-4540
(800) 861-1359
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
08/25/2026
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