Organization
AXIS NUTRITION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARAH HOFFMANN (REGISTERED DIETITIAN)
(224) 456-4146
Entity
Organization
Contact information
Practice address
2499 E JOLIET HWY, NEW LENOX, IL 60451-2592
(815) 717-8355
Mailing address
2151 THAMES RIVER LN, NEW LENOX, IL 60451-9574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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