Individual
MINDY CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
395 W BULLDOG BLVD, PROVO, UT 84604-3311
(801) 357-8143
(801) 357-8329
Mailing address
395 W BULLDOG BLVD FL 4, PROVO, UT 84604-3311
(801) 357-8143
(801) 357-8329
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6434151-4901
UT
Other
Enumeration date
06/03/2008
Last updated
06/30/2022
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