Provider Demographics
NPI:1669333522
Name:SPOON & FORK, LTD.
Entity type:Organization
Organization Name:SPOON & FORK, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:MCPHERSON PETRUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:737-510-1480
Mailing Address - Street 1:19590 E MAINSTREET STE 202
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7371
Mailing Address - Country:US
Mailing Address - Phone:737-510-1480
Mailing Address - Fax:720-780-6650
Practice Address - Street 1:19590 E MAINSTREET STE 202
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7371
Practice Address - Country:US
Practice Address - Phone:737-510-1480
Practice Address - Fax:720-780-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty