Provider Demographics
NPI:1588484430
Name:THE WHOLE (FOOD, BODY, MIND, SPIRIT)
Entity type:Organization
Organization Name:THE WHOLE (FOOD, BODY, MIND, SPIRIT)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:303-350-7844
Mailing Address - Street 1:110 16TH ST STE 1460
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5202
Mailing Address - Country:US
Mailing Address - Phone:720-993-5418
Mailing Address - Fax:
Practice Address - Street 1:605 S CLINTON ST APT 5A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1576
Practice Address - Country:US
Practice Address - Phone:720-993-5418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty