Summit Performance Nutrition LLC
NPI #1003370115 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1003370115
- Entity Type
- Organization
- Organization Name
- Summit Performance Nutrition LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jan 23, 2019
- Last Updated
- Jan 23, 2019
Practice Location
- Address
- 6156 ROCKVILLE DR
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80923-3806
- Phone
- (719) 684-5754
Authorized Official
- Name
- MS. JENNA MOORE-LIESTER, RD
- Title
- OWNER
- Phone
- (719) 684-5754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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