Individual
TAILYNNE FERWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W PINE ST STE 150, MISSOULA, MT 59802-1020
(406) 926-1881
Mailing address
308 W PINE ST STE 150, MISSOULA, MT 59802-1020
(406) 926-1881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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