| Organization Name: | NATICK SPORTS AND RACQUET CLUB |
| NPI Number: | 1972677326 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE POLLEY (DIETITIAN) |
| Mailing Address: | 203 Oak St Longfellow Sports Club Natick |
| State: | MA US |
| Postal Code: | 017601306 |
| Phone Number: | 5086534633 |
| Fax Number: | 5086504986 |
| NPI Enumeration Date: | 11/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LDN1011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |