Individual
ALLISON HENRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4595 JOHN ADAMS PKWY, AMMON, ID 83406-5000
(801) 628-6409
Mailing address
4595 JOHN ADAMS PKWY, AMMON, ID 83406-5000
(801) 628-6409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9511627-4901
UT
133V00000X
Registered Dietitian
DT92651
TX
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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