Nutritional Medicine of Idaho
Nutritional Medicine of Idaho provides Nutrition Education Nutritionist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
1520 W State St Ste 220Boise, ID 83702-4085 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 343-3883
Fax: (208) 287-2010
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutrition Education Nutritionist (primary) | Taxonomy 133NN1002X · Licence D043 (ID) |
|---|
Record details
| NPI number | 1467621383 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Macha — Owner · (208) 343-3883 |
| NPI enumerated | February 25, 2008 |
| Last updated in NPPES | February 25, 2008 |
| Mailing address | 1520 W State St, Suite 220, Boise, ID 83702-4085 |
Other providers in Boise
-
Kendy Anne Radasky, MS, FNTP
1416 W Washington St, Boise, ID 83702-5038 · (208) 996-5880
-
Nicole Telford
5880 N Glenwood St, Boise, ID 83714-1342 · (208) 287-5900
-
Clair Hal Walker
4506 N Tattenham Way, Boise, ID 83713-2524 · (208) 841-7698