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

Trailblazer Integrative & Functional Nutrition, LLC

Organization Registered Dietitian · NPI 1649989161

Trailblazer Integrative & Functional Nutrition, LLC is a Registered Dietitian in Meridian, Idaho. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

2198 W Jayton Dr
Meridian, ID 83642-7600
Phone: (208) 870-3002
Fax: (208) 957-6544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3673 E Sweet Pea Ct, Boise, ID 83716-6939 — (208) 870-3002

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1649989161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hailie Kuttler — Owner · (208) 870-3002
NPI enumeratedNovember 23, 2022
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address2198 W Jayton Dr, Meridian, ID 83642-7600

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