Individual
KASSADY BACKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 RIVER RUN DR UNIT 17, SAN DIEGO, CA 92108-5805
(573) 690-1715
Mailing address
2204 RIVER RUN DR UNIT 17, SAN DIEGO, CA 92108-5805
(573) 690-1715
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
02/17/2025
Last updated
08/29/2025
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