Individual
MRS. DIANE BUIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
575 E 4400 N, HYDE PARK, UT 84318-3336
(435) 754-4291
Mailing address
575 E 4400 N, HYDE PARK, UT 84318-3336
(435) 754-4291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
211631-4701
UT
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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