Organization
BACK ON TRACK NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATY CHRISTINN STEMPLE MDA, RDN (OWNER, REGISTERED DIETITIAN)
(928) 368-3645
Entity
Organization
Contact information
Practice address
6625 S RURAL RD STE 111, TEMPE, AZ 85283-3717
(480) 253-9547
Mailing address
15018 N SANTIAGO PL, FOUNTAIN HILLS, AZ 85268-1625
(928) 368-3645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/29/2020
Last updated
11/29/2022
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