Individual
MACKENZIE B BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
8TH AVENUE & C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-1100
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12394146-4901
UT
Other
Enumeration date
01/11/2023
Last updated
04/21/2026
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