Shane Alan Fahrnow, LMT

NPI #1750949418 in Terry, Montana

Provider Information

NPI Number
1750949418
Entity Type
Individual
Name
Shane Alan Fahrnow, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
May 29, 2019
Last Updated
May 29, 2019

Practice Location

Address
204 LOGAN AVE.
Address 2
SUITE B
City
Terry
State
Montana
ZIP Code
59349
Phone
(406) 939-4818

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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