Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THE SPORTS MED SPA LLC
Active OrganizationTHE SPORTS MED SPA LLC is a Physician Assistant organization located in WEST JORDAN, Utah. NPI 1679453781 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST JORDAN, UT
Registration Details
- NPI Number
- 1679453781
- Provider Type
- Organization
- NPI Issued
- Sep 8, 2025 (0.93142030609833 yrs)
- Last Updated
- Oct 16, 2025
Practice Information
- Address
-
3580 W 9000 SWEST JORDAN, UT, 840888812Browse UT providers · Browse ZIP 84088
- Phone
- 8014482218
- Primary Specialty
-
Physician Assistant
363A00000X
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.