NPI 1184509721
The Fulfilled Fork, LLC
Practice location
- Address
- 1309 Coffeen Ave STE 5655, Sheridan, WY 82801-5777
- Phone
- (307) 381-0662
Authorised official
- Name
- Haley Schroth
- Title
- Owner
- Phone
- (307) 381-0662
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1184509721
- Entity type
- Organization
- NPI issued
- 11 Aug 2025
- Record last updated
- 11 Aug 2025
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.