Provider Demographics
NPI:1245988757
Name:TOKAR, SHAYLAH RAE (LMT)
Entity type:Individual
Prefix:MRS
First Name:SHAYLAH
Middle Name:RAE
Last Name:TOKAR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 W ANTELOPE TRL APT 1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2900
Mailing Address - Country:US
Mailing Address - Phone:406-670-5501
Mailing Address - Fax:
Practice Address - Street 1:2820 CENTRAL AVE STE D
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-8624
Practice Address - Country:US
Practice Address - Phone:406-259-4908
Practice Address - Fax:406-252-0040
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLMT-LMT-LIC-13817225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist