MEDICARE: RACHEL TAYLOR ROOD RD

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	133V00000X	Registered Dietitian	2774313-4901	UT

General Provider Information

NPI Number	:	1831697119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL TAYLOR ROOD RD

Provider Business Mailing Address
First Line	:	1288 E TALMAGE LN
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341-3240
Country	:	US
Telephone Number	:	435-890-0656
Fax Number	:

Provider Business Practice Location Address
First Line	:	1638 N 200 W
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84341-1900
Country	:	US
Telephone Number	:	435-922-0303
Fax Number	:	435-213-2774

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

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	03/27/2026

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Directions to “ RACHEL TAYLOR ROOD RD” Practice Location

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