Individual
ASHLEY BERRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-8750
Mailing address
5388 W SIMMONS PEAK PL, HERRIMAN, UT 84096-1467
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
9507122-4901
UT
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
9507122-4901
UT
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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