| Sound Nutrition Dynamics | |
|
3702 Long Lake Dr Se, Lacey, WA 98503-4056 | |
| (360) 239-9186 | |
| Not Available |
| Full Name | Sound Nutrition Dynamics |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3702 Long Lake Dr Se, Lacey, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861822082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI00000496 (Washington) | Primary |
| Provider Name | Dawn M Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962648238 PECOS PAC ID: 1153460365 Enrollment ID: I20091201000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Nutrition Dynamics 700 Sleater Kinney Rd. Se, Ste B #227, Lacey, WA 98503-5191 Ph: (360) 239-9186 | Sound Nutrition Dynamics 3702 Long Lake Dr Se, Lacey, WA 98503-4056 Ph: (360) 239-9186 |
Jessica Ann Allison, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 673 Woodland Square Loop Se Ste 330, Lacey, WA 98503 Phone: 888-364-5977 | |
Kathleen Eileen Harding-mendez, RDN, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: 6103 37th Ln Se, Lacey, WA 98503 Phone: 360-621-4879 | |
Kailey Cunningham, M.S., R.D.N., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 673 Woodland Square Loop Se, Suite 330, Lacey, WA 98503 Phone: 888-364-5977 Fax: 360-628-5240 | |
Ashley Caitlin Bent, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6832 26th Ct Se, Lacey, WA 98503 Phone: 360-489-2166 | |
Jaime Elizabeth Thorpe, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 673 Woodland Square Loop Se Ste 330, Lacey, WA 98503 Phone: 888-364-5977 | |
Yakira Bergsman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 673 Woodland Square Loop Se Ste 330, Lacey, WA 98503 Phone: 888-364-5977 |