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

Kassidy Rae Huelsebusch, NUTRITIONIST

Individual provider Nutritionist · NPI 1265262364

Kassidy Rae Huelsebusch, NUTRITIONIST is a Nutritionist in LA Grange, Texas. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

4236 Fm 2981
LA Grange, TX 78945-4116
Phone: (979) 250-3455
Show map & directions

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

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 164.000000 (IL)

Record details

NPI number1265262364
Entity typeIndividual (Type 1)
GenderFemale
Credentials NUTRITIONIST
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateMarch 28, 2024