Organization · Type 2 NPI
Altitude Sport & Spine PLLC
Sports Medicine (Family Medicine) Physician · Idaho Falls, ID
Practice location
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | None listed |
Sports Medicine (Family Medicine) Physician: 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, biomecha…
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About NPI 1992663595
Altitude Sport & Spine PLLC's National Provider Identifier is 1992663595, issued on Jan 13, 2026. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 13, 2026.