IndividualActive
Susan Reese, MS RDN CNSC CD
NPI 1174996151 · Pediatric Nutrition Registered Dietitian · Salt Lake City, UT
Provider details
- NPI number
- 1174996151
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS RDN CNSC CD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8066413-4901 (UT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2147 E Pinnacle Terrace Way
Apt 103
Salt Lake City, UT 84121-5062
Phone: (801) 201-1850
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 711913
Salt Lake City, UT 84171-1913
Registry dates
- Enumerated
- 2015-11-12
- Last updated
- 2015-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.