| |
1222 W Legacy Crossing Blvd, Centerville, UT 84014-5550 | |
(801) 683-4800 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 1222 W Legacy Crossing Blvd, Centerville, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437655776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1052776 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
4659 S Quail Vista Ln Apt B, Millcreek, UT 84117-5632 Ph: (801) 544-6971 | 1222 W Legacy Crossing Blvd, Centerville, UT 84014-5550 Ph: (801) 683-4800 |
Zoe Katechis, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 332 S 160 W # B, Centerville, UT 84014 Phone: 801-928-8604 |