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Roam Ind LLC — NPI 1093513566, Eagle, ID | NPI Central

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NPI 1093513566

OrganizationActive

Roam Ind LLC

NPI 1093513566 · Rehabilitation Chiropractor · Eagle, ID

Provider details

NPI number: 1093513566
Entity type: Organization
Primary specialty: Rehabilitation ChiropractorChiropractic Providers
Organization subpart: No
Authorized official: Justin Brink, Owner(208) 968-6700

Specialties & taxonomies

Rehabilitation ChiropractorPrimary111NR0400X
Chiropractic Providers
Sports Physician Chiropractor111NS0005X
Chiropractic Providers

Practice location

36 N Echohawk Ln Ste 104b

Eagle, ID 83616-4013

Phone: (208) 968-6700

Fax: (208) 563-3938

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

36 N Echohawk Ln Ste 104b

Eagle, ID 83616-4013

Other names (DBA / former)

Doing business as: Premiere Spine & Sport

Registry dates

Enumerated: 2025-03-03
Last updated: 2025-03-05
Certified: 2025-03-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.