PRIME SPORTS MED NPI 1407354574

NPI Information

PRIME SPORTS MED is a chiropractor in Nampa, ID. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PRIME SPORTS MED NPI is 1407354574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 12TH AVE RD
SUITE 101
NAMPA, ID
ZIP 83686-015
Phone: (208) 466-0200

The provider's authorized official is Jacob Bower .
The authorized official title is Chiropractor and has the following contact phone number (208) 466-0200.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 5/25/2021.

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:

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