NPI 1710498316
Chrissa Petersen
Practice location
- Address
- 550 Foothill Blvd, Salt Lake City, UT 84113-1106
- Phone
- (801) 582-1565
- Mailing address
- 1138 E Electra Ln, Sandy, UT 84094-4015
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1710498316
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Oct 2017
- Record last updated
- 23 Oct 2017
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.