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NPI Code Detail

MEDICARE: KATHERINE ZAVODNI NUTRITION THERAPY

MEDICARE: KATHERINE ZAVODNI NUTRITION THERAPY
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1396415618
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATHERINE ZAVODNI NUTRITION THERAPY
Provider Business Mailing Address
First Line : 1848 E HERBERT AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1832
Country : US
Telephone Number : 919-451-7500
Fax Number :
Provider Business Practice Location Address
First Line : 1848 E HERBERT AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1832
Country : US
Telephone Number : 919-451-7500
Fax Number :
Authorized Official
Title or Position : REGISTERED DIETITIAN, OWNER
Name : KATHERINE ZAVODNI
Credential : RD
Telephone Number : 919-451-7500
Provider Enumeration Date : 09/17/2021
Last Update Date : 09/21/2021

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