Madeline Banta, RD, LD

NPI 1649717562 · on the registry since 2017 · sole proprietor

Practice

Address: 100 N Mario Capecchi Dr
Salt Lake City, UT 84113
Phone: (801) 662-5329
Organisation at this address: Tellica Imaging, Llc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 430

Registry record

Primary taxonomy: 133VN1004X
133VN1004X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah