| NPI | 1396514931 |
|---|---|
| Doing Business As | ORTHOPEDIC SPORTS INSTITUTE |
| Doing Business As | ORTHOPEDIC SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ADAM JAMES OLSCAMP Owning Partner 208-457-4211 |
| Organization Subpart ? | Yes |
| 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 | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |