Wade Dietetics And Fitness LLC
Dietitian, Registered in Issaquah, WA. Organization (NPI-2).
NPI number1104746239
StatusActive
Last updated in NPPESJul 18, 2026
Details
- NPI
- 1104746239
- Entity type
- Organization (NPI-2)
- Legal business name
- Wade Dietetics And Fitness LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2026
- Certification date
- Jul 18, 2026
- Last updated
- Jul 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
4330 W Lake Sammamish Pkwy Se Apt 117Issaquah, WA 98027-9772
Phone 636-432-2526
Mailing address
4330 W Lake Sammamish Pkwy Se Apt 117Issaquah, WA 98027-9772
Phone 636-432-2526
Authorized official
Matthew Harrison Wade
Dietitian
6364322526
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