Individual provider · Type 1 NPI
John-Michael Keoni Dellermann, DC, CCSP, LAT, ATC
Sports Physician Chiropractor · Ogden, UT
Practice location
2650 Washington Blvd Ste 208
Ogden, UT 84401-3623
Mailing address
2275 N 2100 E
Layton, UT 84040-8084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 12884926-4810 (UT) |
| Sports Physician Chiropractor Primary | 111NS0005X | 12884926-1202 (UT) |
Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …
About NPI 1053716852
John-Michael Keoni Dellermann, DC, CCSP, LAT, ATC's National Provider Identifier is 1053716852, issued on Oct 23, 2014. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Ogden, UT. The record was last updated on Feb 11, 2025.