Individual
MRS. SHIRLEY MARIE O'HEARN HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 W MAIN ST, MISSOULA, MT 59802-4336
(406) 499-1049
Mailing address
34059 SHEEP CAMP RD, BONNER, MT 59823-9803
(406) 499-1049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-12457
MT
Other
Enumeration date
10/21/2017
Last updated
03/17/2018
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