Provider Demographics
NPI:1760221444
Name:PROPER NUTRITION THERAPY LLC
Entity type:Organization
Organization Name:PROPER NUTRITION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUINNESS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:215-416-7624
Mailing Address - Street 1:320 MIDDLETOWN BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3205
Mailing Address - Country:US
Mailing Address - Phone:215-416-7624
Mailing Address - Fax:
Practice Address - Street 1:320 MIDDLETOWN BLVD STE 303
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3205
Practice Address - Country:US
Practice Address - Phone:215-416-7624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty