Provider Demographics
NPI:1346835832
Name:THE TASTY BALANCE
Entity Type:Organization
Organization Name:THE TASTY BALANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:913-999-4023
Mailing Address - Street 1:8340 MISSION RD.
Mailing Address - Street 2:SUITE 237
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66206
Mailing Address - Country:US
Mailing Address - Phone:816-635-0739
Mailing Address - Fax:913-305-5029
Practice Address - Street 1:8340 MISSION RD.
Practice Address - Street 2:SUITE 237
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206
Practice Address - Country:US
Practice Address - Phone:816-635-0739
Practice Address - Fax:913-305-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty