Provider Demographics
NPI:1437839313
Name:REFRAME NUTRITION LLC
Entity Type:Organization
Organization Name:REFRAME NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:160-839-7461
Mailing Address - Street 1:2512 SW EGRET POND CIR
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2535
Mailing Address - Country:US
Mailing Address - Phone:608-397-4612
Mailing Address - Fax:
Practice Address - Street 1:2512 SW EGRET POND CIR
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2535
Practice Address - Country:US
Practice Address - Phone:608-397-4612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty