Trailblazer Integrative & Functional Nutrition, LLC

NPI #1649989161 in Meridian, Idaho

Provider Information

NPI Number
1649989161
Entity Type
Organization
Organization Name
Trailblazer Integrative & Functional Nutrition, LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Nov 23, 2022
Last Updated
Jan 10, 2023

Practice Location

Address
2198 W JAYTON DR
State
Idaho
ZIP Code
83642-7600
Phone
(208) 870-3002

Authorized Official

Name
HAILIE KUTTLER, RDN, LD, IFNCP
Title
OWNER
Phone
(208) 870-3002

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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