Organization · Type 2 NPI

The Sports Med Spa LLC

Physician Assistant · West Jordan, UT

NPI number 1679453781 Active

Practice location

3580 W 9000 S
West Jordan, UT 84088-8812

Call (801) 448-2218 Map

Mailing address

4645 W S Jordan Pkwy
South Jordan, UT 84009-5761

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

94 other providers at this address

About NPI 1679453781

The Sports Med Spa LLC's National Provider Identifier is 1679453781, issued on Sep 8, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Jordan, UT. The record was last updated on Oct 16, 2025.