Individual
DR. VANCE SHURTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3100 S WOODRUFF AVE, IDAHO FALLS, ID 83404-8310
(208) 523-8879
Mailing address
311 GLADSTONE ST, IDAHO FALLS, ID 83401-2512
(208) 520-8974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3148
ID
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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