Organization
NUTRITION THERAPY SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI R MCADAMS R.D.N. (DIETITIAN)
(502) 494-8149
Entity
Organization
Contact information
Practice address
135 GRANDVIEW WAY, SHEPHERDSVILLE, KY 40165-9154
(502) 494-8149
(502) 531-0049
Mailing address
135 GRANDVIEW WAY, SHEPHERDSVILLE, KY 40165-9154
(502) 494-8149
(502) 531-0049
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
KY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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