OrganizationActive
Utah Sports and Orthopedics
NPI 1790402170 · Sports Medicine (Orthopaedic Surgery) Physician · Sandy, UT
Provider details
- NPI number
- 1790402170
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Mangum, Ceo(801) 410-0205
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Sports Medicine Physician2080S0010X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Sports Physical Therapist2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2516 E Snow Mountain Dr
Sandy, UT 84093-1858
Phone: (801) 410-0205
Approximate (ZIP-level) locationGet directions
Mailing address
2516 E Snow Mountain Dr
Sandy, UT 84093-1858
Registry dates
- Enumerated
- 2022-10-26
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.