| Build Strong Nutrition, Llc | |
|
1200 Holman Ave Pocatello ID 83201-2907 | |
| (208) 871-8755 | |
| (888) 462-8913 |
| Full Name | Build Strong Nutrition, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1200 Holman Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Callie Miller (OWNER/REGISTERED DIETITIAN) |
| Authorized Official Contact | 2088718755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Build Strong Nutrition, Llc 1200 Holman Ave Pocatello ID 83201-2907 Ph: (208) 871-8755 | Build Strong Nutrition, Llc 1200 Holman Ave Pocatello ID 83201-2907 Ph: (208) 871-8755 |
| NPI Number | 1508507344 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508507344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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