NPI 1073171534
Relate Nutrition & Therapy
Practice location
- Address
- 79 13th Ave NE Suite 103b, Minneapolis, MN 55413
- Phone
- (651) 216-6555
Authorised official
- Name
- Nicole Wavra
- Title
- Owner
- Phone
- (651) 216-6555
Registered specialties (2)
Marriage & Family Therapist
Primary
Registered Dietitian
Registry record
- NPI
- 1073171534
- Entity type
- Organization
- NPI issued
- 30 May 2019
- Record last updated
- 30 May 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.