# IDAHO JOINT AND SPINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356759781
- **Authorized official:** JAMES A WHITAKER DO (OWNER)
- **Authorized official phone:** (208) 322-5922

## Contact information

- **Practice address:** 1760 N MITCHELL ST, BOISE, ID 83704-6542
- **Practice address phone:** (208) 322-5922
- **Practice address fax:** (208) 576-6932
- **Mailing address:** 1760 N MITCHELL ST, BOISE, ID 83704-6542
- **Mailing address phone:** (208) 322-5922
- **Mailing address fax:** (208) 576-6932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | O-0794 | ID | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | O-0794 | ID | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 09/10/2025