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Individual

ADAM LOUIS SHURTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
36 WINN DR STE 100, REXBURG, ID 83440-5277
(208) 356-0174
(208) 356-0176
Mailing address
301 OAKTRAIL DR, REXBURG, ID 83440-2575

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3149
ID

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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