Provider Demographics
NPI:1417450024
Name:AROUND THE TABLE NUTRITION, LLC
Entity Type:Organization
Organization Name:AROUND THE TABLE NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:479-221-1301
Mailing Address - Street 1:6119 SHADOW CREEK CV
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-4504
Mailing Address - Country:US
Mailing Address - Phone:479-221-1301
Mailing Address - Fax:
Practice Address - Street 1:6119 SHADOW CREEK CV
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-4504
Practice Address - Country:US
Practice Address - Phone:479-221-1301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-10
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty