Ivana Jourdon is a Massage Therapist based in Holladay, UT. Ivana Jourdon practices in Holladay, UT. The NPI Number for Ivana Jourdon is 1689261455 and holds a License No. 11316423-4701 (Utah).
The current practice location address for Ivana Jourdon is 4254 S Lynne Ln, Holladay, UT and can be reached out via phone at 602-717-1963.
Location: 4254 S Lynne Ln, Holladay, UT, 84124-2760
Provider Profile Details
NPI Number
1689261455
Provider Name
Ivana Jourdon
Credential
Provider Entity Type
Individual
Gender
Female
Address
4254 S Lynne Ln, Holladay, UT, 84124-2760
Phone Number
602-717-1963
Fax Number
Provider Enumeration Date
12/28/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11316423-4701 | 01 | UT | 11316423-4701 |
Provider Business Practice Location Address Details
Address
4254 S Lynne Ln
City
State
Zip
84124-2760
Phone Number
602-717-1963
Fax Number
Provider Business Mailing Address Details
Address
4254 S Lynne Ln
City
State
Zip
84124-2760
Phone Number
602-717-1963
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
11316423-4701 (Utah)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Badge
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