Organization
NUTRITION FROM SCRATCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR KOENIGS (REGISTERED DIETITIAN)
(865) 909-7609
Entity
Organization
Contact information
Practice address
2450 SUNRISE RIDGE WAY APT 302, KNOXVILLE, TN 37921-1262
(865) 909-7609
(865) 240-3169
Mailing address
2450 SUNRISE RIDGE WAY APT 302, KNOXVILLE, TN 37921-1262
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194434456
NPPES
TN
Enumeration date
04/11/2023
Last updated
12/28/2023
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