Nutriformance
Organization Active NPI Community Health Clinic/Center · Frontenac, MO
NPI 1265909154 · NPPES record last updated Oct 29, 2018
Key facts
- NPI
- 1265909154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- NUTRIFORMANCE
- Practice address
- 10407 Clayton Rd
Frontenac, MO 63131-2909 - Phone
- (314) 432-6103
- Fax
- (314) 692-0448
- NPI assigned
- Oct 29, 2018
- Organization subpart
- No
Authorized official
- Name
- Ellie Huff
- Title
- Registered Dietitian/Co-Owner
- Phone
- (314) 609-6835
Practitioners 6
-
Ellie Huff, RD, LD, CSCS
-
Evan Kuhl, PT, DPT, XPS, USAW-1
-
Elizabeth Grace Link, MS, RD, CPT
-
Samantha R Porter, PT, DPT, LMT, CMTPT
National Provider Directory
Locations
10407 Clayton Rd
Saint Louis, MO 63131
Phone (314) 432-6103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
10407 Clayton Rd
Frontenac, MO 63131-2909
Mailing address
10407 Clayton Rd
Frontenac, MO 63131-2909
Other providers in Frontenac, MO
- Paige M Luth
- Jennifer Nicole Mahoney
- Lauren McGaughey
- Melanie Melissa Miranda
- Nra-St. Louis (Home Therapy Center), Missouri, LLC
- Samantha O'Daniel
- Jodi Otis
- Eleanor Bridget Perkins
- Samantha R Porter
- Drew Rapert
All providers in Frontenac, MO · Community Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.