Healthcare Provider Details

I. General information

NPI: 1356668438
Provider Name (Legal Business Name): BARBARA SORENSON DAY R.D., C.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 04/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 SANDY PKWY
SANDY UT
84070-6437
US

IV. Provider business mailing address

3981 S 6820 W
WEST VALLEY CITY UT
84128-3861
US

V. Phone/Fax

Practice location:
  • Phone: 801-233-8745
  • Fax: 801-233-8749
Mailing address:
  • Phone: 801-233-8745
  • Fax: 801-233-8749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number109013-4901
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: