Healthcare Provider Details

I. General information

NPI: 1306445150
Provider Name (Legal Business Name): HEALTHY BODIES NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 10/22/2020
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12808 E APACHE PASS RD
SPOKANE WA
99206-9309
US

IV. Provider business mailing address

12808 E APACHE PASS RD
SPOKANE WA
99206-9309
US

V. Phone/Fax

Practice location:
  • Phone: 509-999-3438
  • Fax:
Mailing address:
  • Phone: 509-981-4175
  • 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: KATHERINE LEFLER
Title or Position: OWNER
Credential: RD
Phone: 509-999-3438