Organization
BLUE MOUNTAIN WELLNESS LLC
Active
Other names
The Ckd Dietitian
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARIE PRATO MS, RDN, CSR (OWNER/REGISTERED DIETITIAN)
(719) 445-6400
Entity
Organization
Contact information
Practice address
7750 N UNION BLVD STE 200, COLORADO SPRINGS, CO 80920-4051
(719) 445-6400
Mailing address
10426 SKY POND LN, COLORADO SPRINGS, CO 80924-4513
(707) 832-8407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2023
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