Provider Demographics
NPI:1679323885
Name:PURSUIT DIETETICS, PLLC
Entity Type:Organization
Organization Name:PURSUIT DIETETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LN
Authorized Official - Phone:406-868-8915
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59771-0922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19750 MT HIGHWAY 91 N
Practice Address - Street 2:
Practice Address - City:GLEN
Practice Address - State:MT
Practice Address - Zip Code:59732-8507
Practice Address - Country:US
Practice Address - Phone:406-868-8915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty