Ketogenic Metabolic Therapy LLC Dba Taste of Keto

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

KETOGENIC METABOLIC THERAPY LLC DBA TASTE OF KETO

Practice address

7877 S Sugarbend Dr
Tucson, AZ 85757-0076

Phone

(520) 477-2333

NPI assigned

Oct 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecilia Girga, LCHF/KMTNPI 1790506657

Title

Owner/ Health & Wellness Coach

Phone

(520) 477-2333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia Girga

  • Health & Wellness Coach
  • Tucson, AZ
  • NPI 1790506657
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1033930995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 S SUGARBEND DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857570076",
            "telephone_number": "520-477-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 S SUGARBEND DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857570076",
            "telephone_number": "520-477-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETOGENIC METABOLIC THERAPY LLC DBA TASTE OF KETO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "GIRGA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER/ HEALTH & WELLNESS COACH",
        "authorized_official_telephone_number": "520-477-2333",
        "authorized_official_credential": "LCHF/KMT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Keswani
• Ketamine Wellness Centers Tucson, LLC
• Marta F. Ketchel, PH.D.
• Steven Ketchel, M.D.
• Keto Consults LLC
• Amanda O'Hanlon Kett, M.S., CCC-SLP
• Christina Kettelle, M.D.
• John Bradford Kettelle IV, MD
• James Ketterer, PHARMD
• Pamela Ann Ketterling

• Health & Wellness Coach in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Health & Wellness Coach in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.