Individual
MICHELLE DIDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 N MAIN ST STE 144, LAYTON, UT 84041-4848
(580) 382-1290
Mailing address
2197 S 725 E, CLEARFIELD, UT 84015-6239
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13271863-4701
UT
Other
Enumeration date
09/03/2025
Last updated
11/12/2025
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