Sports Medicine Clinic

LBN: Kfdd Physical Therapy & Sports Medicine Clinic
Sports Medicine Clinic is an health care organization with primary practice located at 2261 Kiesel Ave. Suite #320, Ogden UT 84401-1969. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Kfdd Physical Therapy & Sports Medicine Clinic can be contacted via phone (801) 621-8835, or through Dahlberg, Chris Holmgren via phone (801) 621-8835.

Contact Information

Primary practice address
2261 Kiesel Ave. Suite #320 Ogden UT 84401-1969
Phone: (801) 621-8835
Fax: (801) 528-5357
Website:
Map and Directions
Authorized official contact:
Name: Dahlberg, Chris Holmgren Physical Therapist (PT)
Phone: (801) 621-8835

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 115411-2401 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 114380-2401 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 115411-2401 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 114380-2401 Utah

Profile Details

NPI number 1013028505
LBN Legal business name Kfdd Physical Therapy & Sports Medicine Clinic
DBA Doing business as Sports Medicine Clinic
Authorized official Dahlberg, Chris Holmgren Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers