Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SARA KOSTELNICK, MS, RD, LD, ACSM-CPT
ActiveSports Dietetics · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1720713225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2022 (3.7594520153968 yrs)
- Last Updated
- Jul 19, 2022
- License
-
2020037369 (MO)
Practice Information
- Address
-
1311 E REPUBLIC RD STE ASPRINGFIELD, MO, 658047204Browse MO providers · Browse ZIP 65804
- Phone
- 4177203670
- Primary Specialty
-
Sports Dietetics
133VN1501X
Other Sports Dietetics Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA DIMMICK | RD, LD, CSSD | 1306542121 |
| ALIX SHANTZ | — | 1396613576 |
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.