Organization
BEYOND NUTRITION CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA HECKROTH RD (OWNER)
(904) 238-4853
Entity
Organization
Contact information
Practice address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(904) 238-4853
Mailing address
633 E MAIN ST UNIT 558, LOUISVILLE, KY 40202-4711
(904) 238-4853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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