Search › California › 207PS0010X
Jeremy Vandehurst, L-AT
NPI 1861027625 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2170 South Ave # B
South Lake Tahoe, CA 96150 - Phone
- (530) 208-8253
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207PS0010X
207PS0010X
- Also registered as
- 174H00000X
207XX0005X
208100000X
226300000X
405300000X - Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California