Healthcare Provider Details

I. General information

NPI: 1831653062
Provider Name (Legal Business Name): SATISFY NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13710 E RICE PL STE 220
AURORA CO
80015-1074
US

IV. Provider business mailing address

2800 S SYRACUSE WAY APT 11-202
DENVER CO
80231-4294
US

V. Phone/Fax

Practice location:
  • Phone: 314-591-6429
  • Fax:
Mailing address:
  • Phone: 314-591-6429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY HANNEKE
Title or Position: OWNER
Credential: MS, RDN
Phone: 314-591-6429