Organization · Type 2 NPI

Country Roots Nutrition LLC

Registered Dietitian · Cheyenne, WY

NPI number 1376470153 Active

Practice location

312 E Carlson St
Cheyenne, WY 82009-4120

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 1376470153

Country Roots Nutrition LLC's National Provider Identifier is 1376470153, issued on May 6, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Cheyenne, WY. The record was last updated on May 6, 2026.