Provider Demographics
NPI:1083213391
Name:THE KEYS TO NUTRITION, LLC
Entity type:Organization
Organization Name:THE KEYS TO NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:305-330-1933
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-0175
Mailing Address - Country:US
Mailing Address - Phone:305-330-1933
Mailing Address - Fax:786-901-8333
Practice Address - Street 1:420 ALABAMA STREET
Practice Address - Street 2:UNIT B
Practice Address - City:PONCHA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81201
Practice Address - Country:US
Practice Address - Phone:305-330-1933
Practice Address - Fax:786-901-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty