NPI 1366232928

Madelynn C Wittemann, MATLATATC

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Salt Lake City, UT

Practice location

Address: 1840 S 1300 E, Salt Lake City, UT 84105-3617
Phone: (801) 832-2200
Mailing address: 2727 S 625 W APT B201, Bountiful, UT 84010-8272

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 14220405-4810 (UT)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Utah →

Registry record

NPI: 1366232928
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2025
Record last updated: 29 Jul 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.