Organization Name: | RESILIENT HEALTH |
NPI Number: | 1013365287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANISA WOODALL (NUTRITIONIST) |
Mailing Address: | 7713 Center Blvd Se Suite 160 Snoqualmie |
State: | WA US |
Postal Code: | 980656319 |
Phone Number: | 7075366686 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2016 |
NPI Last Update Date: | 05/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | NU60584285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |