OrganizationActive
Boost Orthopedics and Sports Medicine Consulting
NPI 1386246122 · Orthopaedic Surgery Physician · Ketchum, ID
Provider details
- NPI number
- 1386246122
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cara Walther, Ceo(541) 410-5081
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
241 Skiway Drive
Ketchum, ID 83340-8334
Phone: (541) 410-5081
Fax: (208) 203-1893
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1236
Ketchum, ID 83340-1231
Registry dates
- Enumerated
- 2020-11-16
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.