Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John-Michael Keoni Dellermann, DC, CCSP, LAT, ATC

Individual provider Athletic Trainer · NPI 1053716852

Dr. John-Michael Keoni Dellermann, DC, CCSP, LAT, ATC is an Athletic Trainer in Ogden, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2650 Washington Blvd Ste 208
Ogden, UT 84401-3623
Phone: (801) 200-3654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 12884926-1202 (UT)
Athletic Trainer Taxonomy 2255A2300X · Licence 12884926-4810 (UT)

Record details

NPI number1053716852
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , CCSP , LAT , ATC
Sole proprietorYes
NPI enumeratedOctober 23, 2014
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

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