Individual
SHARON LISA FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1643 24TH ST W STE 203, BILLINGS, MT 59102-2677
(406) 690-2989
Mailing address
2901 MONAD RD APT 35, BILLINGS, MT 59102-6106
(406) 690-2989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
176
MT
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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