Provider

ALTITUDE SPORT & SPINE PLLC

Public NPPES listing with taxonomy: Family Medicine, Sports Medicine.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1992663595

Taxonomy: Family Medicine, Sports Medicine (207QS0010X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 1582 ELK CREEK DR, IDAHO FALLS, ID, 834048322

Phone: 208-213-5256

Last verified: May 15, 2026