Individual
MADELYNN C WITTEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
1840 S 1300 E, SALT LAKE CITY, UT 84105-3617
(801) 832-2200
Mailing address
2727 S 625 W APT B201, BOUNTIFUL, UT 84010-8272
(480) 494-7487
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
14220405-4810
UT
Other
Enumeration date
05/07/2025
Last updated
07/29/2025
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