SearchCaliforniaSports Medicine (Emergency Medicine) Physician

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
Sports Medicine (Emergency Medicine) Physician
207PS0010X
Also registered as
Health Educator
Sports Medicine (Orthopaedic Surgery) Physician
Physical Medicine & Rehabilitation Physician
Kinesiotherapist
Prevention Professional
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