Midwest Performance Nutrition LLC
NPI #1225861040 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1225861040
- Entity Type
- Organization
- Organization Name
- Midwest Performance Nutrition LLC
- Primary Specialty
- Dietitian, Registered - Nutrition, Sports Dietetics
- Enumeration Date
- Aug 26, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 8060 LEXINGTON PL APT 10
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-2511
- Phone
- (309) 397-6406
Authorized Official
- Name
- ABIGAIL OLCOTT
- Title
- REGISTERED DIETITIAN
- Phone
- (309) 397-6406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Sports Dietetics — Nutrition, Sports Dietetics |
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