SUMMIT SPINE AND SPORT CHIROPRACTIC, PLLC (NPI# 1164889226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164889226 |
| Entity Type | Organization |
| Organization Name | SUMMIT SPINE AND SPORT CHIROPRACTIC, PLLC |
| Other Organization Name | SUMMIT SPINE AND SPORT CHIROPRACTIC |
| Practice Address |
237 N 2nd E Suite 106 Rexburg ID 83440-4977 |
| Practice Telephone | 2088815525 |
| Mailing Telephone | 2088815525 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | DR. KIMBALL S ARRITT (OWNER/ PHYSICIAN) |
| Authorized Official Telephone | 2088815525 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIA-1705 | ID | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Summit Spine and Sport Chiropractic | Doing Business As Name - Organization |
| Street Address |
237 N 2ND E SUITE 106 |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699132647 | Kimball Sckye Arritt | Chiropractor | 237 N 2nd E, Ste 106, Rexburg, ID 83440-4977 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699132647 | Kimball Sckye Arritt | Chiropractor | 237 N 2nd E, Ste 106, Rexburg, ID 83440-4977 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1467740068 | Health Specialties | Chiropractor | 2484 N Stokesberry Pl Ste 100, Meridian, ID 83646-6083 | 2011-07-16 |
| 1750523536 | Joel Theodore Jaureguito | Chiropractor | 1352 Troy Rd, Moscow, ID 83843-3995 | 2009-03-25 |
| 1568608396 | Gallagher Chiropractic PC | Chiropractor | 520 S Meridian Rd Ste 50, Meridian, ID 83642-4533 | 2008-12-29 |
| 1003930967 | Gary D Musgrave | Chiropractor | 3314 N. Cole Rd., Boise, ID 83704 | 2007-03-18 |
| 1881773992 | Thomas Dennis Hickey | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2006-11-02 |
| 1285658302 | Blake Louis Howard | Chiropractor | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2006-07-26 |
| 1881610806 | Steven Paul Borders | Chiropractor | 405 E. Best Ave #104, Coeur D Alene, ID 83814 | 2006-07-14 |
| 1386682862 | Paul Kendell Bowers | Chiropractor | 1133 Call Pl Ste A, Pocatello, ID 83201-3076 | 2006-06-04 |
| 1205883170 | Kraig Kurtis Knotts | Chiropractor | 547 S Fitness Pl, Suite 110, Eagle, ID 83616-6552 | 2006-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.