Healthcare Provider Details
I. General information
NPI: 1952232985
Provider Name (Legal Business Name): CATALYST NUTRITION & PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1860 CAIRNSMORE DR
FINKSBURG MD
21048-1032
US
IV. Provider business mailing address
1860 CAIRNSMORE DR
FINKSBURG MD
21048-1032
US
V. Phone/Fax
- Phone: 410-207-9486
- Fax:
- Phone: 410-207-9486
- 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:
CASSANDRA
PADULA
BURKE
Title or Position: OWNER, REGISTERED DIETITIAN
Credential: RDN
Phone: 410-207-9486