Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALIX SHANTZ
Active Sole ProprietorSports Dietetics · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1396613576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2025 (0.4827461066523 yrs)
- Last Updated
- Oct 28, 2025
- License
-
86114968 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
690 S CRADER CTSPRINGFIELD, MO, 658029753Browse MO providers · Browse ZIP 65802
- Phone
- 4173432787
- Primary Specialty
-
Sports Dietetics
133VN1501X
Other Sports Dietetics Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| SARA KOSTELNICK | MS, RD, LD, ACSM-CPT | 1720713225 |
| CASSANDRA DIMMICK | RD, LD, CSSD | 1306542121 |
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.