Healthcare Provider Details

I. General information

NPI: 1598366502
Provider Name (Legal Business Name): FXMED NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 LITTLETON RD STE 1B
WESTFORD MA
01886-3530
US

IV. Provider business mailing address

145 GREAT RD STE 6
ACTON MA
01720-5683
US

V. Phone/Fax

Practice location:
  • Phone: 978-435-0221
  • Fax:
Mailing address:
  • Phone: 787-997-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMANDA TURTON HUFF
Title or Position: OWNER/NUTRITIONIST
Credential:
Phone: 978-799-7378