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

Idaho Joint and Spine LLC

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1356759781

Idaho Joint and Spine LLC is a Neuromusculoskeletal Medicine & OMM Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1760 N Mitchell St
Boise, ID 83704-6542
Phone: (208) 322-5922
Fax: (208) 576-6932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence O-0794 (ID)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence O-0794 (ID)

Record details

NPI number1356759781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Whitaker — Owner · (208) 322-5922
NPI enumeratedJuly 29, 2014
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1760 N Mitchell St, Boise, ID 83704-6542

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