Individual
SHANA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
410 N MARSHALL STREET, DARBY, MT 59829
(406) 880-8939
Mailing address
PO BOX 512, DARBY, MT 59829-0512
(406) 880-8939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-22901
MT
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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