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

Soul Fire Nutrition, LLC

Organization Registered Dietitian · NPI 1164367918

Soul Fire Nutrition, LLC is a Registered Dietitian in Fort Polk, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
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

5619 Mudry Ct
Fort Polk, LA 71459-3448
Phone: (517) 930-6161
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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 number1164367918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Dulworth — Founder/Ceo · (517) 930-6161
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address5619 Mudry Ct, Fort Polk, LA 71459-3448

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