| NPI | 1063896546 |
|---|---|
| Doing Business As | ORTHOPEDIC SPORTS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | ADAM JAMES OLSCAMP W2 Managing Owner 208-457-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 225100000X Physical Therapist | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-11-03 |