Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Sports Chiropractic Clinic

Organization Chiropractor · NPI 1114124138

Boise Sports Chiropractic Clinic is a Chiropractor in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
5

Practice location Address checks out

3314 N Cole Rd
Boise, ID 83704-4403
Phone: (208) 377-9930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Chiropractor (primary) Taxonomy 111NX0800X · Licence C-4918 (ID)
Chiropractor Taxonomy 111N00000X · Licence C-4918 (ID)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence C-4918 (ID)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence C-4918 (ID)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence C-4918 (ID)

Record details

NPI number1114124138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Hearon — Owner · (208) 377-9930
NPI enumeratedJuly 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address3314 N Cole Rd, Boise, ID 83704-4403

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