Individual
JOANNA EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5640 WASATCH DR STE E, SOUTH OGDEN, UT 84403-4993
(801) 388-3640
Mailing address
5640 WASATCH DR STE E, SOUTH OGDEN, UT 84403-4993
(801) 388-3640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10121243-4701
UT
225700000X
Massage Therapist
MA60713154
WA
Other
Enumeration date
12/16/2016
Last updated
07/21/2022
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