Provider Demographics
NPI:1205609724
Name:RACHEL KNIGHT NUTRITION LLC
Entity type:Organization
Organization Name:RACHEL KNIGHT NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:251-472-5538
Mailing Address - Street 1:3988 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7362
Mailing Address - Country:US
Mailing Address - Phone:251-472-5538
Mailing Address - Fax:
Practice Address - Street 1:3988 GUILFORD RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7362
Practice Address - Country:US
Practice Address - Phone:251-472-5538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty