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
Mailing address3738 Little Rock Ln, Provo, UT 84604-5310

Other providers in Provo