Provider Demographics
NPI:1821776311
Name:ALL OF NUTRITION, LLC
Entity Type:Organization
Organization Name:ALL OF NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RDN
Authorized Official - Prefix:
Authorized Official - First Name:MARYSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON-CARDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:385-722-4393
Mailing Address - Street 1:2319 S FOOTHILL DR STE 180
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-5403
Mailing Address - Country:US
Mailing Address - Phone:385-722-4393
Mailing Address - Fax:833-296-7437
Practice Address - Street 1:2319 S FOOTHILL DR STE 180
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-5403
Practice Address - Country:US
Practice Address - Phone:385-722-4393
Practice Address - Fax:833-296-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Multi-Specialty