NPI 1164889226

Summit Spine and Sport Chiropractic, PLLC

Organisation Sports Physician Chiropractor Rexburg, ID

Practice location

Address: 237 N 2nd E Suite 106, Rexburg, ID 83440-4977
Phone: (208) 881-5525

Authorised official

Name: Kimball S Arritt
Title: Owner/ Physician
Phone: (208) 881-5525

Registered specialties

Sports Physician Chiropractor Primary

Chiropractic Providers Taxonomy 111NS0005X Licence CHIA-1705 (ID)

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Registry record

NPI: 1164889226
Entity type: Organization
NPI issued: 20 Jan 2016
Record last updated: 30 Dec 2024

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.