Provider Demographics
NPI:1487469920
Name:GENTLE NUTRITION LLC
Entity type:Organization
Organization Name:GENTLE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:GENTLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIKANI
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD, CDCES
Authorized Official - Phone:512-800-4507
Mailing Address - Street 1:21131 38TH DR SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-7324
Mailing Address - Country:US
Mailing Address - Phone:512-800-4507
Mailing Address - Fax:
Practice Address - Street 1:21131 38TH DR SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7324
Practice Address - Country:US
Practice Address - Phone:512-800-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty