Organization · Type 2 NPI
Open Table Nutrition LLC
Registered Dietitian · St. Louis, MO
Practice location
2941 Championship Blvd, Suite Llc
St. Louis, MO 63129
Mailing address
117 S Lexington St Ste 100
Harrisonville, MO 64701-2443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | None listed |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | None 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 1972420123
Open Table Nutrition LLC's National Provider Identifier is 1972420123, issued on Jun 30, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 18, 2026.