Camp4 Human Performance

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

CAMP4 HUMAN PERFORMANCE

Practice address

1951 W 4700 S Ste 2
Taylorsville, UT 84129-1108

Phone

(801) 878-7356

Fax

(801) 878-7436

NPI assigned

Jun 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tyler Leroy Nelson, D.C.

Title

President/Physician

Phone

(801) 878-7356

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1255746400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W 4700 S STE 2",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291108",
            "telephone_number": "801-878-7356",
            "fax_number": "801-878-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 4700 S STE 2",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291108",
            "telephone_number": "801-878-7356",
            "fax_number": "801-878-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP4 HUMAN PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "801-878-7356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T Clark Callister
• Katia Camacho
• Isabelle Camargo
• Gennesis Cambray
• Christopher Camp, OTR/L
• Kaylee Campbell-Stevenson
• Andie Campbell, OTR/L
• Freya Campbell
• Marci Campbell, CMHC
• Marissa Campbell

• Sports Physician Chiropractor in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.