MEDICARE: THE WHOLE (FOOD, BODY, MIND, SPIRIT)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1588484430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WHOLE (FOOD, BODY, MIND, SPIRIT)

Provider Business Mailing Address
First Line	:	110 16TH ST STE 1460
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5326
Country	:	US
Telephone Number	:	720-993-5418
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 16TH ST STE 1460
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5326
Country	:	US
Telephone Number	:	720-993-5418
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	THERESA PAGE
Credential	:	RD
Telephone Number	:	303-350-7844

Provider Enumeration Date	:	10/15/2024
Last Update Date	:	10/14/2025

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Directions to “THE WHOLE (FOOD, BODY, MIND, SPIRIT) ” Practice Location

Language	Start Address	Practice Location

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