Organization
TREASURE VALLEY SPINE & SPORTS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN KYLE BURTENSHAW D.C. (OWNER/CHIROPRACTIC PHYSICIAN)
(208) 672-0100
Entity
Organization
Contact information
Practice address
1450 S EAGLE FLIGHT WAY STE 150, BOISE, ID 83709-1562
(208) 672-0100
(208) 672-0200
Mailing address
1450 S EAGLE FLIGHT WAY STE 150, BOISE, ID 83709-1562
(208) 672-0100
(208) 672-0200
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIA-1159
ID
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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