Provider Demographics
NPI:1083326516
Name:ASPEN FUNCTIONAL HEALTH
Entity Type:Organization
Organization Name:ASPEN FUNCTIONAL HEALTH
Other - Org Name:ASPEN FUNCTIONAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:425-444-2964
Mailing Address - Street 1:537 W NUGGET TRL
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86005-6824
Mailing Address - Country:US
Mailing Address - Phone:425-444-2964
Mailing Address - Fax:
Practice Address - Street 1:522 W RIVERSIDE AVE STE 8232
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:928-622-0983
Practice Address - Fax:888-522-6376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty