Whalio Doctors

NPI 1891242772

Ellen J Matheson, MSCNSLMT

Practitioner Nutritionist Charleston, SC

Practice location

Address
621 Wappoo Rd Seed of Life Collective, Charleston, SC 29407-1800
Phone
(843) 410-8567
Mailing address
2948 Cathedral Ln, Charleston, SC 29414-7309

Registered specialties (2)

Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133N00000X
Mechanotherapist
Other Service Providers Taxonomy 172M00000X Licence 6744 (SC)

Registry record

NPI
1891242772
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Sep 2016
Record last updated
29 Sep 2016

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.