Individual
MIQUELLE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N ST, SALT LAKE CITY, UT 84103-3883
(801) 609-4263
Mailing address
4578 S HIGHLAND DR, SALT LAKE CITY, UT 84117-4243
(801) 609-4263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9480248-4701
UT
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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