Provider Demographics
NPI:1508629460
Name:FROM SCRATCH NUTRITION, LLC
Entity Type:Organization
Organization Name:FROM SCRATCH NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:316-351-8443
Mailing Address - Street 1:1429 N BROKEN ARROW RD
Mailing Address - Street 2:
Mailing Address - City:PECK
Mailing Address - State:KS
Mailing Address - Zip Code:67120-9057
Mailing Address - Country:US
Mailing Address - Phone:316-351-8443
Mailing Address - Fax:888-690-5185
Practice Address - Street 1:1429 N BROKEN ARROW RD
Practice Address - Street 2:
Practice Address - City:PECK
Practice Address - State:KS
Practice Address - Zip Code:67120-9057
Practice Address - Country:US
Practice Address - Phone:316-351-8443
Practice Address - Fax:888-690-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty