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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRAILBLAZER INTEGRATIVE & FUNCTIONAL NUTRITION, LLC

Active Organization

TRAILBLAZER INTEGRATIVE & FUNCTIONAL NUTRITION, LLC is a Registered Dietitian organization located in MERIDIAN, Idaho. NPI 1649989161 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · MERIDIAN, ID

Registration Details

NPI Number
1649989161
Provider Type
Organization
NPI Issued
Nov 23, 2022 (3.7592740657486 yrs)
Last Updated
Jan 10, 2023

Practice Information

Address
2198 W JAYTON DR
MERIDIAN, ID, 836427600
Browse ID providers · Browse ZIP 83642
Phone
2088703002
Fax
2089576544
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Organizations in MERIDIAN, ID

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.