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CANDICE CHESSUM
NPI 1194193334
Physical Therapist - Orthopedic in Boise, ID

Active since September 04, 2015
1109 W MYRTLE ST, BOISE, ID 83702(208) 489-4331 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candice Chessum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE CHESSUM (NPI 1194193334) is an individual orthopedic provider in Boise, Idaho, licensed in Idaho (PT-4201) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1194193334
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameCANDICE CHESSUM
Location Address1109 W MYRTLE STBoise, ID 83702-6970
Mailing Address323 W Village LnBoise, ID 83702-6225 · (818) 590-1559
Phone(208) 489-4331
Sole ProprietorNo
Enumeration DateSeptember 4, 2015
✔ NPI 1194193334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in ID · PT-4201
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1109 W MYRTLE ST, Boise, ID 83702
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA HASSELL ATC, OTC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 383-0201
DR. ERIC TAEHO YOON PT, DPT, CSCS
Physical Therapist (Sports)
1109 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 385-3720
DR. KURT J NILSSON MD
Family Medicine (Sports Medicine)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 383-0201
ALEJANDRO A HOMAECHEVARRIA MD
Family Medicine (Sports Medicine)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 383-0201
FORREST Q PECHA MS, ATC, LAT, OTC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 489-4331
ZACHARY BRADDOCK PT, DPT
Physical Therapist
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 489-4331
TIMOTHY STEVEN NICOLELLO ATC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 874-3449
LUCAS BAHNMAIER MS, ATC/L, OTC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 489-4299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Chessum's NPI number?

The NPI number for Candice Chessum is 1194193334. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Candice Chessum located?

Candice Chessum practices at 1109 W Myrtle St, Boise, ID 83702. The listed phone number is (208) 489-4331.

What is Candice Chessum's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Candice Chessum was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.