Individual
SHANE ALAN FAHRNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
204 LOGAN AVE., SUITE B, TERRY, MT 59349
(406) 939-4818
Mailing address
PO BOX 235, FALLON, MT 59326-0235
(406) 939-4818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1441
MT
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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