Organization
FOODS OF THE SPIRIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY PETTY MS, RDN, LDN (REGISTERED DIETITIAN)
(937) 554-0000
Entity
Organization
Contact information
Practice address
158 E 16TH ST APT A2, COOKEVILLE, TN 38501-1394
(937) 554-0000
Mailing address
158 E 16TH ST APT A2, COOKEVILLE, TN 38501-1394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
08/05/2024
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