SHANE ALAN FAHRNOW

TERRY, MT
NPI1750949418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MT  1441)
Enumeration Date2019-05-29
Last Update Date2019-05-29
Business Address
SHANE ALAN FAHRNOW LMT
204 LOGAN AVE. SUITE B
TERRY, MT 59349
Phone number: 406-939-4818
Mailing Address
SHANE ALAN FAHRNOW LMT
PO BOX 235
FALLON, MT 59326-0235
Phone number: 406-939-4818