Healthcare Provider Details
I. General information
NPI: 1265397657
Provider Name (Legal Business Name): EM- PLANTING NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7456 S ALIX DRIVE
WASILLA AK
99623
US
IV. Provider business mailing address
PO BOX 877549
WASILLA AK
99687-7549
US
V. Phone/Fax
- Phone: 701-590-1892
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMILY
KUNTZ
Title or Position: OWNER
Credential: RD, RDN
Phone: 701-590-1892