Organization
KONTAXES NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY KONTAXES MS, CNS, LDN (OWNER)
(814) 720-6445
Entity
Organization
Contact information
Practice address
1047 ALLEGHENY AVE, OIL CITY, PA 16301-2670
(814) 346-1673
Mailing address
458 HENDERSHOT RD, KENNERDELL, PA 16374-5824
(814) 720-6445
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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