Organization
ELEVATE NUTRITION CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MATTINSON RDN, LD (OWNER)
(469) 450-4073
Entity
Organization
Contact information
Practice address
12600 HILL COUNTRY BLVD, SUITE 275, AUSTIN, TX 78738-6723
(512) 537-3171
(512) 582-8293
Mailing address
PO BOX 161381, AUSTIN, TX 78716-1381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83374
TX
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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