Organization · Type 2 NPI

Sacred Table LLC

Registered Dietitian · Youngstown, OH

NPI number 1306717319 Active

Practice location

2512 Frostwood Dr
Youngstown, OH 44515-5144

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1306717319

Sacred Table LLC's National Provider Identifier is 1306717319, issued on Sep 15, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Youngstown, OH. The record was last updated on Sep 15, 2025.