| Back On Track Nutrition Llc | |
|
6625 S Rural Rd Ste 111, Tempe, AZ 85283-3717 | |
| (480) 253-9547 | |
| Not Available |
| Full Name | Back On Track Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 6625 S Rural Rd Ste 111, Tempe, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780297614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Back On Track Nutrition Llc 15018 N Santiago Pl, Fountain Hills, AZ 85268-1625 Ph: (928) 368-3645 | Back On Track Nutrition Llc 6625 S Rural Rd Ste 111, Tempe, AZ 85283-3717 Ph: (480) 253-9547 |
Tracey A. Grant, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1046 E Wesleyan Dr, Tempe, AZ 85282 Phone: 817-905-6467 | |
Vivianne Swart, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 950 W Elliot Rd, Suite 201, Tempe, AZ 85284 Phone: 480-303-0844 | |
Kelly Lynne Peper, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 602-243-7277 | |
Ambar Yudell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans Way, Tempe, AZ 85287 Phone: 847-722-3821 | |
Kirsten Wassum, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1492 S Mill Ave, Suite 312, Tempe, AZ 85281 Phone: 602-243-7277 Fax: 480-927-1092 | |
Tana D Ingram, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 480-495-0314 | |
Kali Renea Gallaher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3501 S Mcclintock Dr Apt 1086, Tempe, AZ 85282 Phone: 614-205-7148 |