NPI 1497039036
Katie Lynne Brussard, ND
Practice location
- Address
- 2091 E 1300 S STE 104, Salt Lake City, UT 84108-2277
- Phone
- (801) 783-3801
- Fax
- (833) 606-3378
Registered specialties
Naturopath
Primary
Registry record
- NPI
- 1497039036
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Sep 2011
- Record last updated
- 7 Mar 2023
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.