Advanced Nutrition Therapy, LLC

Organization Active NPI Registered Dietitian · Richmond, KY

NPI 1174935795 · NPPES record last updated Jun 2, 2014

Key facts

NPI
1174935795
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
License
1160 (KY)
Legal business name
ADVANCED NUTRITION THERAPY, LLC
Practice address
1095 Four Mile Rd
Richmond, KY 40475-9260
Phone
(859) 358-0931
NPI assigned
Jun 2, 2014
Organization subpart
No

Authorized official

Name
Lora Jody, R.D.
Title
Owner
Phone
(859) 358-0931

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advanced Nutrition Therapy LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X 1160 KY Yes

Addresses

Primary practice location

1095 Four Mile Rd
Richmond, KY 40475-9260

Mailing address

1006 Cor Lon Way
Corbin, KY 40701-8706
Phone (859) 358-0931

Other providers in Richmond, KY

All providers in Richmond, KY · Registered Dietitian in Kentucky

Sources for this page

Verify at the official NPI Registry.