IndividualActive
Jared Boyle
NPI 1235798554 · Nutritionist · Wausau, WI
Provider details
- NPI number
- 1235798554
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
4048 Crestwood Dr
Wausau, WI 54403-8122
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2019-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.