Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristine Emanuelson

Individual provider Dietary Manager · NPI 1164887097

Kristine Emanuelson is a Dietary Manager in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2015
Specialties on file
3

Practice location Address checks out

280 River Park Dr Ste 240
Provo, UT 84604-5764
Phone: (801) 615-1047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 217972-4701 (UT)
Dietary Manager Taxonomy 132700000X
Health Educator Taxonomy 174H00000X · Licence 217972-4701 (UT)

Record details

NPI number1164887097
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2015
Last updated in NPPESJanuary 5, 2016

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