Provider Demographics
NPI:1811622632
Name:ACHIEVING YOUR BEST
Entity Type:Organization
Organization Name:ACHIEVING YOUR BEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:KELTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MA
Authorized Official - Phone:417-720-3670
Mailing Address - Street 1:1311 E REPUBLIC RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-7204
Mailing Address - Country:US
Mailing Address - Phone:417-720-3670
Mailing Address - Fax:
Practice Address - Street 1:1311 E REPUBLIC RD STE A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7204
Practice Address - Country:US
Practice Address - Phone:417-720-3670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty