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OPTIMAL NUTRITION LLC
NPI 1073086203
Clinic/Center - Health Service in Glastonbury, CT

Active since January 10, 2019
65 KELSEY LN, GLASTONBURY, CT 06033(860) 916-2486 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Optimal Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL NUTRITION LLC (NPI 1073086203) is a healthcare organization registered as a health service in Glastonbury, Connecticut and active in the NPI registry since January 2019. The organization lists Lisa Rabita Shettle, Owner, as its authorized official.

NPPES Registry Identity

NPI1073086203
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameOPTIMAL NUTRITION LLC
Location Address65 KELSEY LNGlastonbury, CT 06033-5040
Mailing Address65 Kelsey LnGlastonbury, CT 06033-5040 · (860) 916-2486
Phone(860) 916-2486
Organization SubpartNo
Authorized OfficialLisa Rabita ShettleOwner · (860) 916-2486
Enumeration DateJanuary 10, 2019
✔ NPI 1073086203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
65 KELSEY LN, Glastonbury, CT 06033
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA SHETTLE RDN CDN
Dietitian, Registered
65 KELSEY LN
GLASTONBURY, CT 06033
Capitol Planning Region (860) 916-2486
OPTIMAL NUTRITION LLC
Dietitian, Registered
65 KELSEY LN
GLASTONBURY, CT 06033
Capitol Planning Region (860) 916-2486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Nutrition LLC's NPI number?

The NPI number for Optimal Nutrition LLC is 1073086203. It was assigned to this organization in the NPPES registry on January 10, 2019.

Where is Optimal Nutrition LLC located?

Optimal Nutrition LLC is located at 65 Kelsey Ln, Glastonbury, CT 06033. The listed phone number is (860) 916-2486.

What is Optimal Nutrition LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Optimal Nutrition LLC was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.