Organization · Type 2 NPI

Open Table Nutrition LLC

Registered Dietitian · St. Louis, MO

NPI number 1972420123 Active

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

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201XNone 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.