NPI 1609559384 · live from the CMS NPI Registry
Balanced Nutrition Therapy, LLC
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1609559384, active.
NPI record
| NPI | 1609559384 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 50 Crestwood Executive Ctr Ste 500, Saint Louis, MO 63126 |
| Practice phone | 636-686-0682 |
| Mailing address | 529 Vista Hills Ct, Eureka, MO 63025 |
| Enumerated | August 9, 2023 |
| Last updated | October 1, 2025 |
| Authorized official | Rebecca Adams, Dietitian |
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.