NPI 1942172614

Creatively Well LLC

Organisation Registered Dietitian Lees Summit, MO

Practice location

Address: 5508 NW Moonlight Meadow Dr, Lees Summit, MO 64064-1283
Phone: (417) 209-4540
Fax: (800) 861-1359

Authorised official

Name: Natalie Martin
Title: Owner
Phone: (417) 209-4540

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1942172614
Entity type: Organization
NPI issued: 22 Sep 2025
Record last updated: 22 Sep 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.