Provider Demographics
NPI:1831938711
Name:COBABE, CHELSEA RYANNE (RD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:RYANNE
Last Name:COBABE
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:RYANNE
Other - Last Name:HORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3805 E 180 N
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-5775
Mailing Address - Country:US
Mailing Address - Phone:208-716-7928
Mailing Address - Fax:
Practice Address - Street 1:1633 W INNOVATION WAY
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-4248
Practice Address - Country:US
Practice Address - Phone:208-590-7711
Practice Address - Fax:800-850-8736
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered