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

Western Racquet & Fitness Club Inc

Organization Registered Dietitian · NPI 1316795214

Western Racquet & Fitness Club Inc is a Registered Dietitian in Green Bay, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 S Ashland Ave
Green Bay, WI 54304-5252
Phone: (920) 497-1611
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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 number1316795214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tad Taggart — Registered Dietitian, Director · (920) 246-4886
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address2500 S Ashland Ave, Green Bay, WI 54304-5252

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