Provider Demographics
NPI:1265209910
Name:BODYFIT NUTRITION LLC
Entity type:Organization
Organization Name:BODYFIT NUTRITION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:859-648-2835
Mailing Address - Street 1:125 TRADE ST STE E
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2616
Mailing Address - Country:US
Mailing Address - Phone:859-648-2835
Mailing Address - Fax:859-407-4725
Practice Address - Street 1:125 TRADE ST STE E
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2616
Practice Address - Country:US
Practice Address - Phone:859-648-2835
Practice Address - Fax:859-407-4725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty