Provider Demographics
NPI:1770462939
Name:ENABLED NUTRITION, LLC
Entity type:Organization
Organization Name:ENABLED NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-450-3121
Mailing Address - Street 1:22606 HEATHER WAY CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3663
Mailing Address - Country:US
Mailing Address - Phone:317-450-3121
Mailing Address - Fax:
Practice Address - Street 1:22606 HEATHER WAY CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3663
Practice Address - Country:US
Practice Address - Phone:317-450-3121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty