Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 22131 | MT |
NPI | 1144863267 |
---|---|
Provider Name | Shelley Lou Danaher |
First Address | Bozeman, MT 59715-9386 |
Second Address | Helena, MT 59601-5018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2019 |
Last Update Date | 21/10/2019 |