Organization
NOURISHING ROOTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADYN ELIZABETH LEWIS M.A., CCC-SLP (CEO, SLP)
(925) 303-0515
Entity
Organization
Contact information
Practice address
486 E 42ND ST, LOVELAND, CO 80538-2354
(925) 303-0515
Mailing address
486 E 42ND ST, LOVELAND, CO 80538-2354
(925) 303-0515
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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