Healthcare Provider Details

I. General information

NPI: 1457130908
Provider Name (Legal Business Name): MORE THAN A LATCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 S. RURAL RD. SUITE 114
TEMPE AZ
85282
US

IV. Provider business mailing address

2046 E MINTON DR.
TEMPE AZ
85282
US

V. Phone/Fax

Practice location:
  • Phone: 480-546-3999
  • Fax:
Mailing address:
  • Phone: 480-415-2084
  • Fax: 480-546-3990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: KYLIE AARON
Title or Position: OWNER - PRIVATE PRACTICE
Credential: MPPD, RDN, IBCLC
Phone: 480-415-2084