Organization
COUNTRY ROOTS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY ANN PRINTZ RDN, LD (OWNER)
(307) 509-0641
Entity
Organization
Contact information
Practice address
312 E CARLSON ST, CHEYENNE, WY 82009-4120
(307) 509-0641
Mailing address
312 E CARLSON ST, CHEYENNE, WY 82009-4120
(307) 509-0641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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