Provider Demographics
NPI:1225671175
Name:HERSH, JOSHUA (NMD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:HERSH
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6360 S 3000 E STE 325
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6932
Mailing Address - Country:US
Mailing Address - Phone:801-709-4569
Mailing Address - Fax:801-663-7471
Practice Address - Street 1:6360 S 3000 E STE 325
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-6932
Practice Address - Country:US
Practice Address - Phone:801-676-9876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11497099-7101175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath