Individual
MRS. REBECCA E. CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
1055 N 500 W, SUITE 122, PROVO, UT 84604-3305
(801) 429-0610
(801) 429-0629
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 429-8150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
103367-4901
UT
174H00000X
Health Educator
103367-4901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00373731
AMERICAN DIETETIC ASSOCIATION
UT
01
—
103367-4901
UTAH STATE LICENSE
UT
Enumeration date
01/27/2011
Last updated
04/28/2011
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