Individual
MRS. DIANE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1415 N. 400 E STE A,, LOGAN, UT 84341
(435) 753-2840
(435) 787-9422
Mailing address
1415 N. 400 E STE A,, LOGAN, UT 84341
(435) 753-2840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6990021-4701
UT
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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