Provider Demographics
NPI:1396174991
Name:A CUT ABOVE NUTRITION LLC
Entity type:Organization
Organization Name:A CUT ABOVE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:317-443-5059
Mailing Address - Street 1:14871 HARVEST KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8303
Mailing Address - Country:US
Mailing Address - Phone:317-443-5059
Mailing Address - Fax:317-747-7471
Practice Address - Street 1:14871 HARVEST KNOLL CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-8303
Practice Address - Country:US
Practice Address - Phone:317-443-5059
Practice Address - Fax:317-747-7471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty