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SUMMIT SPINE AND SPORT CHIROPRACTIC PLLC NPI 1164889226


NPI Information

NPI: 1164889226
Provider Name: SUMMIT SPINE AND SPORT CHIROPRACTIC, PLLC

Doing Business As: SUMMIT SPINE AND SPORT CHIROPRACTIC

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
237 N 2ND E
SUITE 106
REXBURG, ID
ZIP 83440
Phone: (208) 881-5525
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SUMMIT SPINE AND SPORT CHIROPRACTIC, PLLC is a sports physician chiropractor in Rexburg, ID. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. SUMMIT SPINE AND SPORT CHIROPRACTIC, PLLC NPI is 1164889226. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summit Spine And Sport Chiropractic.

The provider's business location address is:

237 N 2ND E
SUITE 106
REXBURG, ID
ZIP 83440-977
Phone: (208) 881-5525

The provider's authorized official is Kimball S Arritt .
The authorized official title is Owner/ Physician and has the following contact phone number (208) 881-5525.

The enumeration date for this NPI number is 1/20/2016 and was last updated on 11/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianCHIA-1705IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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