Individual
BETTY B WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
454 E MEDICAL WAY, HEBER CITY, UT 84032-1391
(435) 658-6738
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 357-7997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
106187-4901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1061874901
UTAH STATE LICENSE
UT
Enumeration date
08/10/2006
Last updated
01/29/2026
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