MEDICARE: FUEL2FLOURISH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1013887678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUEL2FLOURISH LLC

Provider Business Mailing Address
First Line	:	2099 E 3205 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2099 E 3205 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2660
Country	:	US
Telephone Number	:	301-233-6634
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	CYNTHIA STEUART
Credential	:	RD
Telephone Number	:	301-233-6634

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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