Individual
JESSICA CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 KIESEL AVE, OGDEN, UT 84401-1964
(801) 528-5066
Mailing address
289 E 1500 N, HARRISVILLE, UT 84404-7729
(801) 678-1408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11946279-4701
UT
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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