Whalio Doctors

NPI 1003370115

Summit Performance Nutrition LLC

Organisation Registered Dietitian Colorado Springs, CO

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
Dietary & Nutritional Service Providers Taxonomy 133V00000X

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.