Provider Demographics
NPI:1356668438
Name:DAY, BARBARA SORENSON (RD, CD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SORENSON
Last Name:DAY
Suffix:
Gender:F
Credentials:RD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3981 S 6820 W
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84128-3861
Mailing Address - Country:US
Mailing Address - Phone:801-233-8745
Mailing Address - Fax:801-233-8749
Practice Address - Street 1:8750 SANDY PKWY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-6437
Practice Address - Country:US
Practice Address - Phone:801-233-8745
Practice Address - Fax:801-233-8749
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT109013-4901133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT109013-4901OtherSTATE PROFESSIONAL LICENSING