Organization · Type 2 NPI

Life Styles Nutrition Services

Registered Dietitian · Grand Rapids, MI

NPI number 1902009475 Active

Practice location

1550 Giddings Ave SE
Grand Rapids, MI 49507

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian Primary	133V00000X	723477 (MI)

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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NPI record

NPI: 1902009475
Entity type: Organization (Type 2)
Issued: Jun 11, 2007
Last updated: Jun 19, 2018
Status: Active

Other names

<unavail>
Nutrition To Go · other name
Nutrition To Go · other name
Tracybooth · other name

Authorized official

Ms. Tracy Marie Booth, R.D.N
Independent Contractor & Proprietor
(616) 929-4026

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902009475

Life Styles Nutrition Services's National Provider Identifier is 1902009475, issued on Jun 11, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 19, 2018.