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

Tasha Bynum, CNC, IHP, LMT

Individual provider Nutritionist · NPI 1477347839

Tasha Bynum, CNC, IHP, LMT is a Nutritionist in Waterloo, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

N7010 Kroghville Rd
Waterloo, WI 53594-9429
Phone: (608) 520-0067
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 5067-146 (WI)
Nutritionist Taxonomy 133N00000X

Record details

NPI number1477347839
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNC , IHP , LMT
Sole proprietorYes
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025