| Organization Name: | MY NUTRITION STUDIO |
| NPI Number: | 1124477583 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER L HAGENDORF (REGISTERED DIETITIAN NUTRITIONIST) |
| Mailing Address: | 4940 Broadway St Ste 118 San Antonio |
| State: | TX US |
| Postal Code: | 782095747 |
| Phone Number: | 2103200979 |
| Fax Number: | 8665332028 |
| NPI Enumeration Date: | 06/07/2016 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT80988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |