OrganizationActive
Medical Nutrition Therapy of Arizona LLC
NPI 1811685498 · Pediatric Nutrition Registered Dietitian · Tucson, AZ
Provider details
- NPI number
- 1811685498
- Entity type
- Organization
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Tiffany Torok, Managing Owner(415) 845-8654
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Practice location
6095 E Grant Rd
Tucson, AZ 85712-2343
Phone: (415) 845-8654
Approximate (ZIP-level) locationGet directions
Mailing address
6095 E Grant Rd
Tucson, AZ 85712-2343
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.