Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremy Scott Vandehurst, L-AT

Individual provider Health Educator · NPI 1861027625

Mr. Jeremy Scott Vandehurst, L-AT is a Health Educator in South Lake Tahoe, California. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2020
Specialties on file
6

Practice location Address checks out

2170 S Ave # B
South Lake Tahoe, CA 96150-7008
Phone: (530) 208-8253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 0506428 (NV)
Health Educator Taxonomy 174H00000X · Licence 0506428 (NV)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 0506428 (NV)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0506428 (NV)
Kinesiotherapist Taxonomy 226300000X · Licence 0506428 (NV)
Prevention Professional Taxonomy 405300000X · Licence 0506428 (NV)

Record details

NPI number1861027625
Entity typeIndividual (Type 1)
GenderMale
Credentials L-AT
Sole proprietorYes
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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