NPI 1124569959

Simply Dietetics, LLC

Organisation Registered Dietitian Sheridan, WY

Practice location

Address: 172 N Main St Suite 1a, Sheridan, WY 82801-3921
Phone: (208) 866-2568
Mailing address: PO Box 542, Dayton, WY 82836-0542

Authorised official

Name: Jordan Paige McCoy
Title: Owner Registered Dietitian
Phone: (208) 866-2568

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Wyoming →

Pediatric Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1004X

Registry record

NPI: 1124569959
Entity type: Organization
NPI issued: 13 Mar 2017
Record last updated: 13 Mar 2017

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.