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