Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deep Well Collective

Organization Nutritionist · NPI 1669210969

Deep Well Collective is a Nutritionist in Afton, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
7

Practice location Address checks out

2071 Afton Mountain Rd
Afton, VA 22920-2308
Phone: (434) 326-8635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Registered Dietitian Taxonomy 133V00000X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X
Oncology Nutrition Registered Dietitian Taxonomy 133VN1301X
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X

Record details

NPI number1669210969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Hall — Ceo · (434) 326-8635
Other names Deep Well Collective
NPI enumeratedJuly 19, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address2071 Afton Mountain Rd, Afton, VA 22920-2308

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