IndividualActive
Ashley Park
NPI 1255119012 · Pediatric Nutrition Registered Dietitian · Salt Lake City, UT
Provider details
- NPI number
- 1255119012
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 14189727-4901 (UT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
857 E 200 S
Salt Lake City, UT 84102-2317
Phone: (801) 487-3276
Approximate (ZIP-level) locationGet directions
Mailing address
857 E 200 S
Salt Lake City, UT 84102-2317
Additional practice locations (1)
- 81 N Mario Capecchi DrSalt Lake City, UT 84113-1125Phone: (801) 662-5325
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.