Individual
KRISTIE BLAKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1597 S 1760 E, SPANISH FORK, UT 84660-6505
(540) 817-7510
Mailing address
1597 S 1760 E, SPANISH FORK, UT 84660-6505
(540) 817-7510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5049707-4901
UT
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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