Individual
CARLY CAMERON CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 E BELLA VISTA DR, FRUIT HEIGHTS, UT 84037-2241
(503) 984-6147
Mailing address
1244 E BELLA VISTA DR, FRUIT HEIGHTS, UT 84037-2241
(503) 984-6147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13650350-4701
UT
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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