OrganizationActive
Deep Well Collective
NPI 1669210969 · Nutritionist · Afton, VA
Provider details
- NPI number
- 1669210969
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Hall, Ceo(434) 326-8635
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Oncology Nutrition Registered Dietitian133VN1301X
Dietary & Nutritional Service Providers
Practice location
2071 Afton Mountain Rd
Afton, VA 22920-2308
Phone: (434) 326-8635
Approximate (ZIP-level) locationGet directions
Mailing address
2071 Afton Mountain Rd
Afton, VA 22920-2308
Other names (DBA / former)
- Doing business as
- Deep Well Collective
Registry dates
- Enumerated
- 2024-07-19
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.