Provider Demographics
NPI:1396415618
Name:KATHERINE ZAVODNI NUTRITION THERAPY
Entity Type:Organization
Organization Name:KATHERINE ZAVODNI NUTRITION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVODNI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:919-451-7500
Mailing Address - Street 1:1848 E HERBERT AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1832
Mailing Address - Country:US
Mailing Address - Phone:919-451-7500
Mailing Address - Fax:
Practice Address - Street 1:1848 E HERBERT AVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1832
Practice Address - Country:US
Practice Address - Phone:919-451-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty