Marisa Christensen, BS, RDN, CPT

Individual provider Active NPI Registered Dietitian · Tremonton, UT

NPI 1477027340 · NPPES record last updated Jan 14, 2019

Key facts

NPI
1477027340
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
11125361-4901 (UT)
Practice address
2548 W 940 N
Tremonton, UT 84337-9396
Phone
(435) 279-4863
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
11125361-4901UTMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 11125361-4901 UT Yes

Addresses

Primary practice location

2548 W 940 N
Tremonton, UT 84337-9396

Mailing address

9270 N 6800 W
Tremonton, UT 84337-8605
Phone (435) 279-4863

Other providers in Tremonton, UT

All providers in Tremonton, UT · Registered Dietitian in Utah

Sources for this page

Verify at the official NPI Registry.