Organization
MICHELLE IVY NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE IVY MS, RDN, CDCES (OWNER/DIETITIAN)
(469) 573-0969
Entity
Organization
Contact information
Practice address
3637 CAPSTONE LN, PLANO, TX 75074-7742
(469) 573-0969
Mailing address
3637 CAPSTONE LN, PLANO, TX 75074-7742
(469) 573-0969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
09/25/2025
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