NPI 1003635756
Wild & Rooted Nutrition Co. LLC
Practice location
- Address
- 825 Great Northern Blvd STE 331, Helena, MT 59601-3392
- Phone
- (406) 792-2876
- Mailing address
- 1511 E Broadway St, Helena, MT 59601-5234
Authorised official
- Name
- Kandon Lee Lewis
- Title
- Owner, Dietitian
- Phone
- (406) 600-2259
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1003635756
- Entity type
- Organization
- NPI issued
- 9 Oct 2024
- Record last updated
- 14 Oct 2024
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.