NPI 1467621383

Nutritional Medicine of Idaho

Organisation Nutrition Education Nutritionist Boise, ID

Practice location

Address: 1520 W State St Suite 220, Boise, ID 83702-4085
Phone: (208) 343-3883
Fax: (208) 287-2010

Authorised official

Name: Matthew R Macha
Title: Owner
Phone: (208) 343-3883

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence D043 (ID)

Other Nutritionist providers in Idaho →

Registry record

NPI: 1467621383
Entity type: Organization
NPI issued: 25 Feb 2008
Record last updated: 25 Feb 2008

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.