| Beyond Nutrition Llc | |
|
161 Meadowcreek Dr Unit J Wadsworth OH 44281-8755 | |
| (330) 858-7188 | |
| Not Available |
| Full Name | Beyond Nutrition Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 161 Meadowcreek Dr Unit J, Wadsworth, Ohio |
| Authorized Official Name and Position | Kendra Taylor (OWNER / DIETITIAN) |
| Authorized Official Contact | 3308587188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Nutrition Llc 161 Meadowcreek Dr Unit J Wadsworth OH 44281-8755 Ph: () - | Beyond Nutrition Llc 161 Meadowcreek Dr Unit J Wadsworth OH 44281-8755 Ph: (330) 858-7188 |
| NPI Number | 1780408773 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Medicare PECOS PAC ID | 8325568728 |
|---|---|
| Medicare Enrollment ID | O20250227002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780408773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kendra Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336912252 PECOS PAC ID: 9234659632 Enrollment ID: I20250227002789 |
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