Healthcare Provider Details

I. General information

NPI: 1033945183
Provider Name (Legal Business Name): EATRIGHTFITNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 W STREETSBORO ST STE 5-216
HUDSON OH
44236-2752
US

IV. Provider business mailing address

118 W STREETSBORO ST STE 5-216
HUDSON OH
44236-2752
US

V. Phone/Fax

Practice location:
  • Phone: 214-289-7215
  • Fax:
Mailing address:
  • Phone: 214-289-7215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: DR. ROGER E ADAMS
Title or Position: OWNER
Credential: PHD
Phone: 214-289-7215