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Individual

DR. JOHN-MICHAEL KEONI DELLERMANN

Active
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Individual

DR. JOHN-MICHAEL KEONI DELLERMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, CCSP, LAT, ATC

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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