Organization Name: | YOUR NUTRITION TEAM |
NPI Number: | 1750716767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN G. WOODS (OWNER/DIETITIAN) |
Mailing Address: | 2056 Westbury Dr Midwest City |
State: | OK US |
Postal Code: | 731308209 |
Phone Number: | 4055507985 |
Fax Number: | 4057699247 |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |