Healthcare Provider Details

I. General information

NPI: 1194423228
Provider Name (Legal Business Name): TRANSFORM BY TONILYNN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 SAINT JOHNS RD
DRUMS PA
18222-2231
US

IV. Provider business mailing address

155 BUCK RIDGE DR
DRUMS PA
18222-1014
US

V. Phone/Fax

Practice location:
  • Phone: 570-578-4365
  • Fax:
Mailing address:
  • Phone: 570-578-4365
  • 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: TONILYNN KARCHNER
Title or Position: REGISTERED DIETITIAN NUTRITIONIST
Credential: RDN
Phone: 570-578-4365