DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ULTIMATE SPORTS REGENERATIVE MEDICINE

Active Organization

ULTIMATE SPORTS REGENERATIVE MEDICINE is a Nurse Practitioner organization located in SOUTH JORDAN, Utah. NPI 1366989931 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SOUTH JORDAN, UT

Registration Details

NPI Number
1366989931
Provider Type
Organization
NPI Issued
Jan 20, 2017 (9.6038733730289 yrs)
Last Updated
Jan 20, 2017
Licenses
7058178-1202 (UT)
347183-4405 (UT)

Practice Information

Address
1098 W. SOUTH JORDAN PKWY
SUITE 101
SOUTH JORDAN, UT, 84095
Browse UT providers · Browse ZIP 84095
Phone
8012545800
Fax
8012541696
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Organizations in SOUTH JORDAN, UT

Name NPI
KDM HEALTH SERVICES, INC. 1538481080
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.