NPI 1003580002

Whitney Petterborg, RDN

Practitioner Registered Dietitian Providence, UT

Practice location

Address: 517 W 100 N STE 110, Providence, UT 84332-9826
Phone: (435) 755-6075
Mailing address: 172 Meadow Cir, Logan, UT 84321-5095

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86118135 (UT)

Other Dietitian, Registered providers in Utah →

Registry record

NPI: 1003580002
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2021
Record last updated: 3 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.