NPI: 1033417035
Provider Name: IDAHO SPORTS & SPINE PLLC
Former Legal Business Name: CHRISTOPHER R JOHNSON DO, PLLC
Classification: Family Medicine - 207QS0010X
Entity Type: Organization
Specialization: Sports Medicine
CLIA Number: 13D2072971
Address:
950 HOSPITAL WAY
STE A
POCATELLO, ID
ZIP 83201
Phone: (208) 478-4522
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IDAHO SPORTS & SPINE PLLC is a sports medicine family medicine in Pocatello, ID. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. IDAHO SPORTS & SPINE PLLC NPI is 1033417035. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Christopher R Johnson Do, Pllc.
The provider's business location address is:
950 HOSPITAL WAY
STE A
POCATELLO, ID
ZIP 83201-789
Phone: (208) 478-4522
Fax: (208) 478-2935
The provider's authorized official is Stephen Hansen .
The authorized official title is Owner and has the following contact phone number (208) 478-4522.
The CLIA number assigned to this NPI record is 13D2072971 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/1/2011 and was last updated on 11/4/2019.