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Boost Orthopedics and Sports Medicine Consulting LLC

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Company Details

Name: Boost Orthopedics and Sports Medicine Consulting LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Feb 2020 (5 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 3765832
Place of Formation: IDAHO
File Number: 697736
ZIP code: 83340
County: Blaine County
Principal Address: CARA WALTHER 241 SKIWAY DRIVE KETCHUM, ID 83340
Mailing Address: PO BOX 1236 KETCHUM, ID 83340-1231

Agent

Name Role Address
Cara Walther Agent 241 SKI WAY DRIVE, KETCHUM, ID 83340

Manager

Name Role Address Appointed On
cara walther Manager PO BOX 1236, KETCHUM, ID 83340 2021-01-03

National Provider Identifier

NPI Number:
1386246122
Certification Date:
2021-02-22

Authorized Person:

Name:
DR. CARA WALTHER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2082031893

Filing

Filing Name Filing Number Filing date
Annual Report 0006110829 2025-02-17
Annual Report 0005637460 2024-03-06
Annual Report 0005058677 2023-01-09
Annual Report 0004555872 2022-01-05
Annual Report 0004113231 2021-01-03

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State