Healthcare Provider Details

I. General information

NPI: 1730014523
Provider Name (Legal Business Name): KATE OBRIEN NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MARLBORO RD
STOW MA
01775-1401
US

IV. Provider business mailing address

33 MARLBORO RD
STOW MA
01775-1401
US

V. Phone/Fax

Practice location:
  • Phone: 978-467-5533
  • Fax:
Mailing address:
  • Phone: 978-467-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE OBRIEN
Title or Position: OWNER/REGISTERED DIETITIAN
Credential: RD, LDN
Phone: 978-467-5533