Individual
TERI UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., M.S., C.D.
Contact information
Practice address
700 BITNER RD, PARK CITY, UT 84098-5489
(801) 831-6967
(435) 658-0013
Mailing address
9475 SILVER CREEK RD, PARK CITY, UT 84098-5645
(801) 831-6967
(435) 658-0013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
109733-4901
UT
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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