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

Mini-Cassia Chiropractic & Sports Medicine PLLC

Organization Chiropractor · NPI 1942705546

Mini-Cassia Chiropractic & Sports Medicine PLLC provides Chiropractor services in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

749 N Overland Ave
Burley, ID 83318-3440
Phone: (208) 260-0917
Fax: (208) 391-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-1817 (ID)

Record details

NPI number1942705546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Sanford — Doctor · (208) 260-0917
NPI enumeratedMarch 26, 2018
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address2200 Macs Ave, Heyburn, ID 83336-9734

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