OrganizationActive
Nutrastead & Co
NPI 1104497189 · Registered Dietitian · Dewitt, IL
Provider details
- NPI number
- 1104497189
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Moriah Gramm, Registered Dietitian(217) 520-3209
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
12764 Solomon Rd
Dewitt, IL 61735-9448
Phone: (217) 520-3209
Approximate (ZIP-level) locationGet directions
Mailing address
12764 Solomon Rd
Dewitt, IL 61735-9448
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.