NPI 1386467629

Summer Wyse, MSRDNCD

Practitioner Registered Dietitian South Jordan, UT

Practice location

Address: 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994
Phone: (801) 213-4500
Mailing address: 7495 S State St, Midvale, UT 84047-2013

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 13942144-4901 (UT)

Other Dietitian, Registered providers in Utah →

Registry record

NPI: 1386467629
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2024
Record last updated: 5 Nov 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.