NPI 1235832098 · live from the CMS NPI Registry
Innate Living INC
Dietitian, Registered in Weston, WI. National Provider Identifier 1235832098, active.
NPI record
| NPI | 1235832098 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 9950 Siberian Dr, Weston, WI 54476 |
| Practice phone | 715-218-1734 |
| Enumerated | March 22, 2023 |
| Last updated | March 22, 2023 |
| Authorized official | Taylor Gould, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.