Healthcare Provider Details

I. General information

NPI: 1295221521
Provider Name (Legal Business Name): SARLI NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 EDGMON RD
OOLTEWAH TN
37363-6854
US

IV. Provider business mailing address

5750 EDGMON RD
OOLTEWAH TN
37363-6854
US

V. Phone/Fax

Practice location:
  • Phone: 423-902-3008
  • Fax:
Mailing address:
  • Phone: 423-210-4210
  • Fax: 423-373-8151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3276
License Number StateTN

VIII. Authorized Official

Name: DOROTHEA SARLI
Title or Position: OWNER / DIETITIAN
Credential: RDN
Phone: 423-210-4210