Provider Demographics
NPI:1295452647
Name:WELLTHEORY TECHNOLOGIES INC.
Entity type:Organization
Organization Name:WELLTHEORY TECHNOLOGIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:RUDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-606-1521
Mailing Address - Street 1:68 TUSCALOOSA AVE
Mailing Address - Street 2:
Mailing Address - City:ATHERTON
Mailing Address - State:CA
Mailing Address - Zip Code:94027-4015
Mailing Address - Country:US
Mailing Address - Phone:415-606-1521
Mailing Address - Fax:650-324-2497
Practice Address - Street 1:68 TUSCALOOSA AVE
Practice Address - Street 2:
Practice Address - City:ATHERTON
Practice Address - State:CA
Practice Address - Zip Code:94027-4015
Practice Address - Country:US
Practice Address - Phone:415-606-1521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty