Organization
MYOFASCIAL FREEDOM AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA WING MS, OTR/L (PRESIDENT)
(701) 290-2968
Entity
Organization
Contact information
Practice address
1207 W DIVIDE AVE STE 4, BISMARCK, ND 58501-1230
(701) 290-2968
Mailing address
716 BRANDING IRON DR, BISMARCK, ND 58503-8532
(701) 290-2968
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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