Individual
TANILLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CEDS-C
Contact information
Practice address
10808 S RIVER FRONT PKWY STE 354, SOUTH JORDAN, UT 84095-6300
(435) 760-2605
Mailing address
3859 W SAGE MEADOW DR, SOUTH JORDAN, UT 84009-3985
(435) 760-2605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9162456-4901
UT
Other
Enumeration date
09/13/2021
Last updated
01/20/2026
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