Provider Demographics
NPI:1205540077
Name:CAITLIN'S NUTRITION STUDIO, INC.
Entity type:Organization
Organization Name:CAITLIN'S NUTRITION STUDIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DANZ
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CLT, LDN
Authorized Official - Phone:508-654-8707
Mailing Address - Street 1:2 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-3728
Mailing Address - Country:US
Mailing Address - Phone:508-654-8707
Mailing Address - Fax:781-459-1053
Practice Address - Street 1:2 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-3728
Practice Address - Country:US
Practice Address - Phone:508-654-8707
Practice Address - Fax:781-459-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty