MEDICARE: BARE HAIR ELECTROLYSIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1346183613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARE HAIR ELECTROLYSIS

Provider Business Mailing Address
First Line	:	2364 W 12600 S
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-7109
Country	:	US
Telephone Number	:	385-212-4824
Fax Number	:

Provider Business Practice Location Address
First Line	:	2364 W 12600 S
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-7109
Country	:	US
Telephone Number	:	385-212-4824
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY DALTON
Credential	:	LE
Telephone Number	:	801-231-4626

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

Similar Medicare Providers

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Practice Location Address:

2364 W 12600 S
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1285664359 — FIRST HEALTH CHOICE
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RIVERTON, UT
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1629001474 — JODIE J JOHNSON O.D.
Practice Location Address:

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1558578310 — DR. KEVIN LLEWELLYN YEAGER D.D.S.
Practice Location Address:

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Directions to “BARE HAIR ELECTROLYSIS ” Practice Location

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