Individual
DEVAN HADLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3324 S HOLLY DR APT 3, MILLCREEK, UT 84109-2691
(801) 834-2217
Mailing address
3324 S HOLLY DR APT 3, MILLCREEK, UT 84109-2691
(801) 834-2217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7399945-4701
UT
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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