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

Gray Space Nutrition LLC

Organization Registered Dietitian · NPI 1134977648

Gray Space Nutrition LLC is a Registered Dietitian in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2747 4 Mile Rd NW
Grand Rapids, MI 49544-9207
Phone: (231) 519-0273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1134977648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cortney Larsen — Owner, Dietitian · (231) 519-0273
NPI enumeratedMay 9, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address2747 4 Mile Rd Nw, Grand Rapids, MI 49544-9207

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