Organization
FUEL YOUR INTENSITY
Active
Organization
FUEL YOUR INTENSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ROZIER RD, LD (REGISTERED DIETITIAN)
(972) 935-6722
Entity
Organization
Contact information
Practice address
209 E MAIN ST, WAXAHACHIE, TX 75165-3755
(469) 383-8334
Mailing address
209 E MAIN ST, WAXAHACHIE, TX 75165-3755
(469) 383-8334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07454
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1531043
CIGNA
TX
05
—
196126001
—
TX
Enumeration date
03/07/2014
Last updated
04/01/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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