Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN-MICHAEL KEONI DELLERMANN, DC, CCSP, LAT, ATC
Active Sole ProprietorDR. JOHN-MICHAEL KEONI DELLERMANN, DC, CCSP, LAT, ATC is a Sports Physician (Chiropractor) healthcare provider located in OGDEN, Utah. NPI 1053716852 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · OGDEN, UT
Registration Details
- NPI Number
- 1053716852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2014 (11.626484300316 yrs)
- Last Updated
- Feb 11, 2025
- Licenses
-
12884926-4810 (UT)12884926-1202 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2650 WASHINGTON BLVD STE 208OGDEN, UT, 844013623Browse UT providers · Browse ZIP 84401
- Phone
- 8012003654
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
- Additional Specialty
- Sports Physician (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.