OrganizationActive
Achieving Your Best
NPI 1811622632 · Registered Dietitian · Springfield, MO
Provider details
- NPI number
- 1811622632
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Tori Keltner, Office Manager(417) 720-3670
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1311 E Republic Rd Ste a
Springfield, MO 65804-7204
Phone: (417) 720-3670
Approximate (ZIP-level) locationGet directions
Mailing address
1311 E Republic Rd Ste a
Springfield, MO 65804-7204
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.