Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine and Sports Medicine Inc

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1073677845

Spine and Sports Medicine Inc is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3336 Pioneer Pkwy Ste 204
West Valley City, UT 84120-2000
Phone: (801) 964-3249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 6053003-1204 (UT)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence 6053003-1204 (UT)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 185699 (UT)

Record details

NPI number1073677845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bova — President · (435) 640-6220
NPI enumeratedDecember 19, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3065 Oak Rim Ln, Park City, UT 84060-6804