| Organization Name: | NUTRITION AUTHORITY |
| NPI Number: | 1043671043 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BROOKE DOUGLAS (CEO) |
| Mailing Address: | 3712 9th St Sw Suite 1a Puyallup |
| State: | WA US |
| Postal Code: | 983733564 |
| Phone Number: | 8553284543 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2016 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 60610914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |