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

Eagle Sport & Family Chiropractic PLLC

Organization Sports Physician Chiropractor · NPI 1861574410

Eagle Sport & Family Chiropractic PLLC provides Sports Physician Chiropractor services in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

547 S Fitness Pl Ste 110
Eagle, ID 83616-6552 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 939-3986
Fax: (208) 319-2700
Show map & directions

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

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence CHIA-1073 (ID)

Record details

NPI number1861574410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kraig Knotts — Owner · (208) 939-3986
NPI enumeratedOctober 20, 2006
Last updated in NPPESApril 3, 2013
Mailing address547 S Fitness Pl, Suite 110, Eagle, ID 83616-6552

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