DR. KATIE LYNNE BRUSSARD


Address: 2091 E 1300 S Ste 104, Salt Lake City, UT 84108-2277
Phone: 8017833801

DR. KATIE LYNNE BRUSSARD (NPI# 1497039036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497039036
Entity Type Individual
Full Name DR. KATIE LYNNE BRUSSARD
Credential N.D.
Practice Address 2091 E 1300 S Ste 104
Salt Lake City
UT 84108-2277
Practice Telephone 8017833801
Practice Fax Number 8336063378
Mailing Telephone 8017833801
Mailing Fax Number 8336063378
Enumeration Date 2011-09-30
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175F00000X Naturopath NT60359284 WA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA LICENSE MD3457668 01
UT NATUROPATHIC PHYSICIAN LICENSE 11065179-7100 01
WA NATUROPATHIC PHYSICIAN LICENSE NT60359284 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
12371 S 900 E Ste 102, Draper, UT 84020 3852470775 3852470776

Office Location

Street Address 2091 E 1300 S STE 104
City SALT LAKE CITY
State UT
Zip Code 84108-2277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801163746 Kate Barton Miyagi Naturopath 2091 E 1300 S Ste 104, Salt Lake City, UT 84108-2277 2011-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

Taxonomy Information

Taxonomy Code 175F00000X
Grouping Other Service Providers
Classification Naturopath

Taxonomy Definition

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588174064 Aaron Potts Naturopath 1945 1100 E, #100, Salt Lake City, UT 84106 2017-10-10
1376095794 Jeannette Daneals Naturopath 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 2016-11-02
1891246922 Daniel B Reed Naturopath 1817 S Main St Ste 13, Salt Lake City, UT 84115-7051 2016-10-24
1528261120 Todd Wallace Cameron Naturopath 1945 S 1100 E, Suite 202, Salt Lake City, UT 84106-2369 2007-06-09
1821219957 Steven Osguthorpe Naturopath 5005 So. 900 East, Suite 100, Salt Lake City, UT 84117 2007-05-02
1952456576 Rachel A. Burnett Naturopath 242 S 400 E, Suite A, Salt Lake City, UT 84111-2609 2007-01-24
1669527271 Matthew D Burnett Naturopath 989 E 900 S Ste A1, Salt Lake City, UT 84105-1452 2007-01-24
1245273861 Harry Adelson Naturopath 2188 South Highland Drive, Ste 210, Salt Lake City, UT 84106 2006-06-13
1265068472 Canyonlands Natural Medicine Naturopath 1817 S Main St Ste 13, Salt Lake City, UT 84115-7051 2020-03-19
1225671175 Joshua Hersh Naturopath 6360 S 3000 E Ste 325, Salt Lake City, UT 84121-6932 2019-10-23
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84108

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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