Individual
JULIE BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
383 NORTH MAIN STREET SUITE 3A, THAYNE, WY 83127
(307) 368-2562
(307) 206-8562
Mailing address
102 US HIGHWAY 89, PO BOX #4010, ALPINE, WY 83128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067740
—
133VN1006X
Metabolic Nutrition Registered Dietitian
86067740
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
86067740
—
Other
Enumeration date
09/22/2022
Last updated
03/09/2026
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