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

Eagle Sport & Family Chiropractic PLLC

Organization Sports Physician Chiropractor · NPI 1861574410

Eagle Sport & Family Chiropractic PLLC is a Sports Physician Chiropractor in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

547 S Fitness Pl Ste 110
Eagle, ID 83616-6552
Phone: (208) 939-3986
Fax: (208) 319-2700
Show map & directions

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

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence CHIA-1073 (ID)

Record details

NPI number1861574410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kraig Knotts — Owner · (208) 939-3986
NPI enumeratedOctober 20, 2006
Last updated in NPPESApril 3, 2013
Mailing address547 S Fitness Pl, Suite 110, Eagle, ID 83616-6552

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