IndividualActive
Christina Koon, MS, RD, CSSD, LRD
NPI 1043090517 · Sports Dietetics Nutrition Registered Dietitian · Pendleton, SC
Provider details
- NPI number
- 1043090517
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSSD, LRD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86058329 (SC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
508 Brasstown Ct
Pendleton, SC 29670-1877
Phone: (616) 460-7914
Approximate (ZIP-level) locationGet directions
Mailing address
508 Brasstown Ct
Pendleton, SC 29670-1877
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.