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

Pure Balance Cancer Support

Organization Registered Dietitian · NPI 1780518530

Pure Balance Cancer Support is a Registered Dietitian in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

774 E 2100 S
Salt Lake City, UT 84106-1863
Phone: (252) 202-7594
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Oncology Nutrition Registered Dietitian Taxonomy 133VN1301X

Record details

NPI number1780518530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nik Ignjatovic — Co-Owner · (801) 558-9174
NPI enumeratedJune 9, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address774 E 2100 S, Pmb 454, Salt Lake City, UT 84106-1863

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