NPI 1003370115
Summit Performance Nutrition LLC
Practice location
- Address
- 6156 Rockville Dr, Colorado Springs, CO 80923-3806
- Phone
- (719) 684-5754
Authorised official
- Name
- Jenna Moore-Liester
- Title
- Owner
- Phone
- (719) 684-5754
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1003370115
- Entity type
- Organization
- NPI issued
- 23 Jan 2019
- Record last updated
- 23 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.