Provider Demographics
NPI:1134784507
Name:SATIO NUTRITION LLC
Entity type:Organization
Organization Name:SATIO NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:405-416-3940
Mailing Address - Street 1:6009 W PARKER RD # 149-805
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8120
Mailing Address - Country:US
Mailing Address - Phone:469-706-0404
Mailing Address - Fax:
Practice Address - Street 1:1800 DENA DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3760
Practice Address - Country:US
Practice Address - Phone:469-706-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty