Provider Demographics
NPI:1831653062
Name:SATISFY NUTRITION LLC
Entity Type:Organization
Organization Name:SATISFY NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:314-591-6429
Mailing Address - Street 1:2800 S SYRACUSE WAY APT 11-202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4294
Mailing Address - Country:US
Mailing Address - Phone:314-591-6429
Mailing Address - Fax:
Practice Address - Street 1:13710 E RICE PL STE 220
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1074
Practice Address - Country:US
Practice Address - Phone:314-591-6429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center