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Contact Information

KRISTINE EMANUELSON
280 RIVER PARK DR
SUITE 240
PROVO, UT84604-5764
 Phone: 801-615-1047
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Dietary Manager

132700000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for KRISTINE EMANUELSON · (Female)

NPI # 1164887097
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2015
Last updated 01/05/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 217972-4701
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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