MEDICARE: WHITNEY CLAIRE STOUT RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1639039340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY CLAIRE STOUT RDH

Provider Business Mailing Address
First Line	:	6976 W LAKE AVE
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-1912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6976 W LAKE AVE
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-1912
Country	:	US
Telephone Number	:	801-891-5393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	11/14/2025

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Directions to “ WHITNEY CLAIRE STOUT RDH” Practice Location

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