Individual
ERIC L SHIFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
37591 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7394
(480) 590-8504
Mailing address
PO BOX 269084, OKLAHOMA CITY, OK 73126-9084
(623) 398-8072
(623) 398-8235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7336
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186354
—
AZ
Enumeration date
08/07/2006
Last updated
01/11/2022
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