Provider Demographics
NPI:1457099038
Name:RESTORING BODIES FITNESS & NUTRITION SERVICES
Entity Type:Organization
Organization Name:RESTORING BODIES FITNESS & NUTRITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:256-858-1344
Mailing Address - Street 1:102 CHERITA LN
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-7463
Mailing Address - Country:US
Mailing Address - Phone:256-617-0899
Mailing Address - Fax:
Practice Address - Street 1:6995 WALL TRIANA HWY STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757-7463
Practice Address - Country:US
Practice Address - Phone:256-858-1344
Practice Address - Fax:256-858-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty