The Sports Med Spa LLC
NPI #1679453781 in West Jordan, Utah
Provider Information
- NPI Number
- 1679453781
- Entity Type
- Organization
- Organization Name
- The Sports Med Spa LLC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 8, 2025
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 3580 W 9000 S
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-8812
- Phone
- (801) 448-2218
Authorized Official
- Name
- GIBRAN BORJA
- Title
- OWNER
- Phone
- (801) 448-2218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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