Healthcare Provider Details

I. General information

NPI: 1831033851
Provider Name (Legal Business Name): MORE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

553 E BROOKWOOD DR
EAGLE ID
83616-3891
US

IV. Provider business mailing address

553 E BROOKWOOD DR
EAGLE ID
83616-3891
US

V. Phone/Fax

Practice location:
  • Phone: 208-880-6388
  • Fax:
Mailing address:
  • Phone: 208-880-6388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN LINK
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT. MPT
Phone: 208-880-6388