Mr. Jeremy Scott Vandehurst
Kinesiotherapist Physical Medicine & Rehabilitation Doctor Sports Medicine Orthopaedic Surgeon
2170 South Ave # B
South Lake Tahoe
, California 96150-7008
Mr. Jeremy Scott Vandehurst
Kinesiotherapist Physical Medicine & Rehabilitation Doctor Sports Medicine Orthopaedic Surgeon
2170 South Ave # B
South Lake Tahoe
, California 96150-7008
(530) 208-8253
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
- Physical Medicine & Rehabilitation Doctor
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. Jeremy Scott Vandehurst
- 2795 Springwood Dr
- South Lake Tahoe, CA
- Zip : 96150-2815
- Phone : (530) 208-8253
Second Address
- Mr. Jeremy Scott Vandehurst
- 2170 South Ave # B
- South Lake Tahoe, CA
- Zip : 96150-7008
- Phone : (530) 208-8253
Reviews
FAQs
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Is Mr. Jeremy Scott Vandehurst a sole practitioner?
Is Mr. Jeremy Scott Vandehurst accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0506428 | NV |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0506428 | NV |
| N | 226300000X | Kinesiotherapist | 0506428 | NV |
National Provider Identifier
| NPI | 1861027625 |
|---|---|
| Provider Name | Mr. Jeremy Scott Vandehurst |
| First Address | South Lake Tahoe, CA 96150-2815 |
| Second Address | South Lake Tahoe, CA 96150-7008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.