Power At Play, LLC
Dietitian, Registered in Schertz, TX. Organization (NPI-2).
NPI number1861745895
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1861745895
- Entity type
- Organization (NPI-2)
- Legal business name
- Power At Play, LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2012
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT81152 | TX | Yes |
Practice location
1121 Sandy Ridge CirSchertz, TX 78154-2849
Phone 210-945-8563 · Fax 210-945-8563
Mailing address
1121 Sandy Ridge CirSchertz, TX 78154-2849
Phone 210-286-7346 · Fax 210-945-8563
Authorized official
Amanda Downing Tyler
Owner
2102867346
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