MADELYNN C WITTEMANN MAT, LAT, ATC
NPI 1366232928
Neuromusculoskeletal Medicine, Sports Medicine in Salt Lake City, UT

Q: What is Madelynn Wittemann's NPI number?

The NPI number for Madelynn Wittemann is 1366232928. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Q: What is Madelynn Wittemann's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Active since May 07, 2025

1840 S 1300 E, SALT LAKE CITY, UT 84105(801) 832-2200 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Madelynn C Wittemann Mat, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELYNN C WITTEMANN MAT, LAT, ATC (NPI 1366232928) is an individual neuromusculoskeletal medicine, sports medicine provider in Salt Lake City, Utah, licensed in Utah (14220405-4810) and active in the NPI registry since May 2025. She maintains a secondary practice location in Bountiful.

NPPES Registry Identity

NPI1366232928

Entity TypeIndividualFemale

Primary Taxonomy204C00000X

Provider Legal NameMADELYNN C WITTEMANNCredential: MAT, LAT, ATC

Location Address1840 S 1300 ESalt Lake City, UT 84105-3617

Mailing Address2727 S 625 W Apt B201Bountiful, UT 84010-8272 · (480) 494-7487

Phone(801) 832-2200

Sole ProprietorYes

Enumeration DateMay 7, 2025

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1366232928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in UT · 14220405-4810

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

1840 S 1300 E, Salt Lake City, UT 84105

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Secondary Practice Location 1

Location 12727 S 625 W Apt B201Bountiful, UT 84010-8272 · Phone (480) 494-7487

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA BEAUDRY MSS, ATC, LAT

Contractor