Provider Demographics
NPI:1114477809
Name:TAFT DRAPER NUTRITION LLC
Entity Type:Organization
Organization Name:TAFT DRAPER NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:TAFT
Authorized Official - Last Name:DRAPER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:828-551-8390
Mailing Address - Street 1:29 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3370
Mailing Address - Country:US
Mailing Address - Phone:828-551-8390
Mailing Address - Fax:
Practice Address - Street 1:27 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7209
Practice Address - Country:US
Practice Address - Phone:828-551-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002799133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty