IndividualActive
John-Michael Dellermann, DC, CCSP, LAT, ATC
NPI 1053716852 · Sports Physician Chiropractor · Ogden, UT
Provider details
- NPI number
- 1053716852
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- DC, CCSP, LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12884926-4810 (UT)
Specialties & taxonomies
Chiropractic Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2650 Washington Blvd Ste 208
Ogden, UT 84401-3623
Phone: (801) 200-3654
Approximate (ZIP-level) locationGet directions
Mailing address
2275 N 2100 E
Layton, UT 84040-8084
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.