Individual
JOEL HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 S 300 W STE B, SALT LAKE CITY, UT 84115-2399
(801) 330-9971
Mailing address
88 W 50 S UNIT J3, CENTERVILLE, UT 84014-2294
(801) 330-9971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4945321-4701
UT
Other
Enumeration date
04/10/2019
Last updated
06/11/2019
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