NPI 1063089555
Kelsey Jack, NTP
Practice location
- Address
- 8507 Wild Trce, Garden Ridge, TX 78266-2219
- Phone
- (210) 854-1363
Registered specialties
Nutrition Education Nutritionist
Primary
Registry record
- NPI
- 1063089555
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Jun 2021
- Record last updated
- 4 Jun 2021
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.