OrganizationActive
Sports Chiropractic and Wellness Center PC
NPI 1356643001 · Chiropractor · Midvale, UT
Provider details
- NPI number
- 1356643001
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Bruce Nielson, Owner(801) 568-1598
- License
- 365045-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
193 E Fort Union Blvd
203
Midvale, UT 84047-5660
Phone: (801) 568-1598
Fax: (801) 568-1594
Street-level locationGet directions
Mailing address
193 E Fort Union Blvd
Midvale, UT 84047-5660
Other names (DBA / former)
- Doing business as
- Optimal Wellness Center
Registry dates
- Enumerated
- 2010-12-01
- Last updated
- 2016-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.