Stacey Sanchez, NUTRITION THERAPIST

Individual provider Active NPI Nutritionist · Dearborn HTS, MI

NPI 1407235245 · NPPES record last updated May 27, 2015

Key facts

NPI
1407235245
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
Practice address
3998 Clippert St
Dearborn HTS, MI 48125-2731
Phone
(313) 299-9800
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Motion LLC Nutritionist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Yes

Addresses

Primary practice location

3998 Clippert St
Dearborn HTS, MI 48125-2731

Mailing address

3998 Clippert St
Dearborn HTS, MI 48125-2731
Phone (313) 299-9800

Other providers in Dearborn HTS, MI

All providers in Dearborn HTS, MI · Nutritionist in Michigan

Sources for this page

Verify at the official NPI Registry.