Organization
TRAILBLAZER INTEGRATIVE & FUNCTIONAL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILIE KUTTLER RDN, LD, IFNCP (OWNER)
(208) 870-3002
Entity
Organization
Contact information
Practice address
2198 W JAYTON DR, MERIDIAN, ID 83642-7600
(208) 870-3002
(208) 957-6544
Mailing address
2198 W JAYTON DR, MERIDIAN, ID 83642-7600
(208) 870-3002
(208) 957-6544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
01/10/2023
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