Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sports Chiropractic and Wellness Center PC

Organization Chiropractor · NPI 1356643001

Sports Chiropractic and Wellness Center PC provides Chiropractor services in Midvale, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

193 E Fort Union Blvd 203
Midvale, UT 84047-5660 Not confirmed with CMS for 10 years — call before visiting
Phone: (801) 568-1598
Fax: (801) 568-1594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 365045-1202 (UT)

Record details

NPI number1356643001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Nielson — Owner · (801) 568-1598
Other names Optimal Wellness Center
NPI enumeratedDecember 1, 2010
Last updated in NPPESJune 1, 2016
Mailing address193 E Fort Union Blvd, 203, Midvale, UT 84047-5660

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