NPI 1023610615

Innovative Nutrition LLC

Organisation Registered Dietitian Mobile, AL

Practice location

Address: 100 Memorial Hospital Dr STE 3c, Mobile, AL 36608-1185
Phone: (251) 272-9654
Fax: (251) 243-4942
Mailing address: 2889 Sollie Rd APT 303, Mobile, AL 36695-5535

Authorised official

Name: Brooke Gacek
Title: Owner
Phone: (205) 305-2840

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Alabama →

Registry record

NPI: 1023610615
Entity type: Organization
NPI issued: 10 Nov 2020
Record last updated: 10 Nov 2020

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.