Prime Sports Med

NPI #1407354574 in Nampa, Idaho

Provider Information

NPI Number: 1407354574
Entity Type: Organization
Organization Name: Prime Sports Med
Primary Specialty: Chiropractor
Enumeration Date: Jan 24, 2018
Last Updated: May 25, 2021

Practice Location

Address: 1601 12TH AVE RD
Address 2: SUITE 101
City: Nampa
State: Idaho
ZIP Code: 83686-5015
Phone: (208) 466-0200

Authorized Official

Name: DR. JACOB BOWER, DC
Title: CHIROPRACTOR
Phone: (208) 466-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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