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Contact Information

REBECCA E CUSHING, RD CD
1055 N 500 W
SUITE 122
PROVO, UT84604-3305
 Phone: 801-429-0610
 Fax: 801-429-0629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for REBECCA E CUSHING · (Female)

NPI Number 1750687547
Status Active
Credentials RD CD
Entity Individual
Enumeration date 01/27/2011
Last updated 04/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 103367-4901
  • UT Other 00373731 AMERICAN DIETETIC ASSOCIATION
  • UT Other 103367-4901 UTAH STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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