NPI 1073086203

Optimal Nutrition LLC

Organisation Health Service Clinic/Center Glastonbury, CT

Practice location

Address: 65 Kelsey Ln, Glastonbury, CT 06033-5040
Phone: (860) 916-2486

Authorised official

Name: Lisa Rabita Shettle
Title: Owner
Phone: (860) 916-2486

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1073086203
Entity type: Organization
NPI issued: 10 Jan 2019
Record last updated: 10 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.