OrganizationActive
Advanced Nutrition Therapy, LLC
NPI 1114425402 · Registered Dietitian · Richmond, KY
Provider details
- NPI number
- 1114425402
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Lora Jody, Registered Dietitian(859) 358-0931
- License
- 1160 (KY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
580 E Ridge Rd
Richmond, KY 40475-8421
Phone: (859) 358-0931
Approximate (ZIP-level) locationGet directions
Mailing address
196 Prewitt Dr
Richmond, KY 40475-6806
Registry dates
- Enumerated
- 2018-02-01
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.