Individual
SHONTOL BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
802 S 200 W, BLANDING, UT 84511-3910
(435) 678-3869
(435) 678-3769
Mailing address
PO BOX 745, BLANDING, UT 84511-0745
(435) 678-3869
(435) 678-3769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8673165-8016
UT
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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