Individual provider · Type 1 NPI

Madelynn C. Wittemann, MAT, LAT, ATC

Sports Medicine (Neuromusculoskeletal Medicine) Physician · Salt Lake City, UT

NPI number 1366232928 Active

Practice location

1840 S 1300 E
Salt Lake City, UT 84105-3617

Mailing address

2727 S 625 W Apt B201
Bountiful, UT 84010-8272

Other practice locations

  • 2727 S 625 W Apt B201, Bountiful, UT 84010-8272 · (480) 494-7487

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary 204C00000X14220405-4810 (UT)

Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…

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About NPI 1366232928

Madelynn C. Wittemann, MAT, LAT, ATC's National Provider Identifier is 1366232928, issued on May 7, 2025. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 29, 2025.