MEDICARE: CHELSEA HENDRICK MS, CNS, LDN

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	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1730992959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA HENDRICK MS, CNS, LDN

Provider Business Mailing Address
First Line	:	5904 FERGUS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-2048
Country	:	US
Telephone Number	:	207-632-8012
Fax Number	:

Provider Business Practice Location Address
First Line	:	5904 FERGUS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-2048
Country	:	US
Telephone Number	:	207-632-8012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	09/08/2025

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