NPI 1235798554

Jared Andrew Boyle

Practitioner Nutritionist Wausau, WI

Practice location

Address: 4048 Crestwood Dr, Wausau, WI 54403-8122
Phone: (715) 370-5646

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1235798554
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2019
Record last updated: 10 Jun 2019

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.