Provider Demographics
NPI:1063292357
Name:SMEDLEY, MARGARET (RD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SMEDLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 E SOUTHFORK DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8755
Mailing Address - Country:US
Mailing Address - Phone:801-680-7858
Mailing Address - Fax:
Practice Address - Street 1:5063 S COTTONWOOD ST STE 100
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6772
Practice Address - Country:US
Practice Address - Phone:801-507-7038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT265417-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered