NPI 1154356624
Idaho Sports Medicine Institute PA
Practice location
- Address
- 1188 University Dr, Boise, ID 83706-3009
- Phone
- (208) 336-8250
- Fax
- (208) 345-9514
- Mailing address
- 1188 W University Dr, Boise, ID 83706-3009
Authorised official
- Name
- Jennifer R. Millier
- Title
- Owner/Partner
- Phone
- (208) 336-8250
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1154356624
- Entity type
- Organization
- NPI issued
- 12 Jul 2006
- Record last updated
- 6 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.