Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
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Active OrganizationSports Dietetics · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1558014415
- Provider Type
- Organization
- NPI Issued
- Feb 1, 2022 (4.2197803083473 yrs)
- Last Updated
- Feb 1, 2022
Practice Information
- Address
-
1030 CENTRAL AVE STE 3INDIANAPOLIS, IN, 462022794Browse IN providers · Browse ZIP 46202
- Phone
- 3175083427
- Primary Specialty
-
Sports Dietetics
133VN1501X
- Additional Specialty
- Mental Health Clinic
- Additional Specialty
- Sports Dietetics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.