Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boise Sports Chiropractic Clinic

Organization Chiropractor · NPI 1114124138

Boise Sports Chiropractic Clinic provides Chiropractor services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
5

Practice location Address checks out

3314 N Cole Rd
Boise, ID 83704-4403
Phone: (208) 377-9930
Show map & directions

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

Specialties & licences

Orthopedic Chiropractor (primary) Taxonomy 111NX0800X · Licence C-4918 (ID)
Chiropractor Taxonomy 111N00000X · Licence C-4918 (ID)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence C-4918 (ID)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence C-4918 (ID)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence C-4918 (ID)

Record details

NPI number1114124138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Hearon — Owner · (208) 377-9930
NPI enumeratedJuly 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address3314 N Cole Rd, Boise, ID 83704-4403

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