NPI 1164022919

Grace Ellen Moore, RDN

Practitioner Registered Dietitian South Jordan, UT

Practice location

Address: 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994
Phone: (443) 299-9623
Mailing address: 1305 N Valentine St, Salt Lake City, UT 84116-3627

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86051484 (MD)

Other Dietitian, Registered providers in Utah →

Registry record

NPI: 1164022919
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2020
Record last updated: 13 Mar 2024

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.