Organization · Type 2 NPI

Pure Balance Cancer Support

Registered Dietitian · Salt Lake City, UT

NPI number 1780518530 Active

Practice location

774 E 2100 S
Salt Lake City, UT 84106-1863

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed
Oncology Nutrition Registered Dietitian 133VN1301XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1780518530

Pure Balance Cancer Support's National Provider Identifier is 1780518530, issued on Jun 9, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 24, 2026.