Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY JACK, NTP
Active Sole ProprietorNutrition, Education · GARDEN RIDGE, TX
Registration Details
- NPI Number
- 1063089555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2021 (4.9206303800661 yrs)
- Last Updated
- Jun 4, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
8507 WILD TRCEGARDEN RIDGE, TX, 782662219Browse TX providers · Browse ZIP 78266
- Phone
- 2108541363
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.