OrganizationActive
Balanced Bites Nutrition LLC
NPI 1114709573 · Obesity and Weight Management Nutrition Registered Dietitian · Eagle, ID
Provider details
- NPI number
- 1114709573
- Entity type
- Organization
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Authorized official
- Tracy Bento, Registered Dietitian
Practice location
408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Phone: (208) 954-0862
Fax: (208) 668-8871
Mailing address
408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.