Individual
DR. JOHN-MICHAEL KEONI DELLERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCSP, LAT, ATC
Contact information
Practice address
2650 WASHINGTON BLVD STE 208, OGDEN, UT 84401-3623
(801) 200-3654
Mailing address
2275 N 2100 E, LAYTON, UT 84040-8084
(801) 200-3654
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
12884926-1202
UT
2255A2300X
Athletic Trainer
12884926-4810
UT
Other
Enumeration date
10/23/2014
Last updated
02/11/2025
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