NPI 1053751032

Derek Garn Rodeback, DO

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Bountiful, UT

Practice location

Address: 1818 Mueller Park Rd, Bountiful, UT 84010-1105
Phone: (453) 414-9858
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties (2)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 12005709-1204 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence DR.0061855 (CO)

Registry record

NPI: 1053751032
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2013
Record last updated: 22 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.