MEDICARE: NUTRITION HEALTHWORKS 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	:	1326447913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUTRITION HEALTHWORKS LLC

Provider Business Mailing Address
First Line	:	7985 NC HIGHWAY 150 E UNIT 24
Second Line	:
City	:	TERRELL
State	:	NC
Zip	:	28682-8753
Country	:	US
Telephone Number	:	704-380-4655
Fax Number	:	704-680-6672

Provider Business Practice Location Address
First Line	:	170 JOE KNOX AVE
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-9169
Country	:	US
Telephone Number	:	704-380-4655
Fax Number	:	704-680-6672

Authorized Official
Title or Position	:	OWNER
Name	:	TRAVIS BARTON CHILCOT
Credential	:
Telephone Number	:	704-380-4655

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	10/09/2025

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