Individual
DANIELLE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
761 W ANTELOPE DR, LAYTON, UT 84041-1630
(801) 779-2620
Mailing address
761 W ANTELOPE DR, LAYTON, UT 84041-1630
(801) 598-3501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9834217-4701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9834217-4701
DOPL
UT
Enumeration date
09/08/2021
Last updated
09/08/2021
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