IndividualActive
Grace Peyorn
NPI 1164378592 · Sports Dietetics Nutrition Registered Dietitian · Burlington, WI
Provider details
- NPI number
- 1164378592
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L008997 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
32830 Karcher Rd
Burlington, WI 53105-8796
Phone: (262) 325-9396
Approximate (ZIP-level) locationGet directions
Mailing address
32830 Karcher Rd
Burlington, WI 53105-8796
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.