NPI 1477448603 · live from the CMS NPI Registry
Body Grace Medical Nutrition Therapy
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1477448603, active.
NPI record
| NPI | 1477448603 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 732 S 6th St # 4612, Las Vegas, NV 89101 |
| Practice phone | 702-371-5719 |
| Mailing address | 10620 Southern Highlands Pkwy Ste 110-423, Las Vegas, NV 89141 |
| Enumerated | June 10, 2025 |
| Last updated | September 9, 2025 |
| Authorized official | Brenna Schrader, Manager/Owener |
| Other names | Body Grace Mnt |
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.