OrganizationActive
Top Nutrition & Performance, LLC
NPI 1467192807 · Sports Dietetics Nutrition Registered Dietitian · O Fallon, IL
Provider details
- NPI number
- 1467192807
- Entity type
- Organization
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Roberts, Owner/ Lead Dietitian(618) 206-8302
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
922 Talon Dr Ste a
O Fallon, IL 62269-1848
Phone: (618) 206-8302
Approximate (ZIP-level) locationGet directions
Mailing address
922 Talon Dr Ste a
O Fallon, IL 62269-1848
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.