Individual
MRS. SHANDRA FREDREGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
807 S 3RD ST, LARAMIE, WY 82070-4419
(307) 742-6840
Mailing address
1115 E CUSTER ST, LARAMIE, WY 82070-4028
(307) 214-5881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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