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

Prime Sports Med

Organization Chiropractor · NPI 1407354574

Prime Sports Med is a Chiropractor in Nampa, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1601 12th Ave Rd Ste 101
Nampa, ID 83686-5015
Phone: (208) 466-0200
Show map & directions

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

Additional practice locations (2)

  • 701 Arthur St, Caldwell, ID 83605-3723 — (208) 999-6233
  • 304 12th Ave Rd, Nampa, ID 83686-5015 — (208) 466-0200

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-1618 (ID)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1407354574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Bower — Chiropractor · (208) 466-0200
NPI enumeratedJanuary 24, 2018
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address1601 12th Ave Rd, Suite 101, Nampa, ID 83686-5015

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