Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soul Fire Nutrition, LLC

Organization Registered Dietitian · NPI 1164367918

Soul Fire Nutrition, LLC provides Registered Dietitian services in Fort Polk, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5619 Mudry Ct
Fort Polk, LA 71459-3448
Phone: (517) 930-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1164367918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Dulworth — Founder/Ceo · (517) 930-6161
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address5619 Mudry Ct, Fort Polk, LA 71459-3448

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