Individual
MICHAEL J SHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
400 VETERAN'S DRIVE, COLUMBIA FALLS, MT 59912-0250
(406) 892-3256
(406) 892-0143
Mailing address
1683 STAG LN, KALISPELL, MT 59901-5160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1070
MT
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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