Alyssa Shaelyn Reidhead, RD | |
128 S 1350 E, Hyrum, UT 84319-2029 | |
(702) 423-7657 | |
Not Available |
Full Name | Alyssa Shaelyn Reidhead |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 128 S 1350 E, Hyrum, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447627484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 9539729-4901 (Utah) | Primary |
Provider Name | Alyssa Reidhead Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073186607 PECOS PAC ID: 9931587276 Enrollment ID: O20220527001375 |
Mailing Address | Practice Location Address |
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Alyssa Shaelyn Reidhead, RD 128 S 1350 E, Hyrum, UT 84319-2029 Ph: (702) 423-7657 | Alyssa Shaelyn Reidhead, RD 128 S 1350 E, Hyrum, UT 84319-2029 Ph: (702) 423-7657 |
Rural Dietitians Dietitian Medicare: Medicare Enrolled Practice Location: 128 S 1350 E, Hyrum, UT 84319 Phone: 702-423-7657 | |
Rural Dietitians Dietitian Medicare: Not Enrolled in Medicare Practice Location: 128 S 1350 E, Hyrum, UT 84319 Phone: 702-423-7657 | |
Jennifer Bell Weight, RD Dietitian Medicare: Medicare Enrolled Practice Location: 128 S 1350 E, Hyrum, UT 84319 Phone: 702-423-7657 | |
Brianne Oronoz, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 283 W 20 N, Hyrum, UT 84319 Phone: 209-747-2885 | |
Adalyn Sage White, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 128 S 1350 E, Hyrum, UT 84319 Phone: 435-200-9319 Fax: 435-214-2247 |