Provider Demographics
NPI:1366866212
Name:REHRER, SIERRA (DPT)
Entity Type:Individual
Prefix:MISS
First Name:SIERRA
Middle Name:
Last Name:REHRER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 S 605 W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-7383
Mailing Address - Country:US
Mailing Address - Phone:812-249-0219
Mailing Address - Fax:
Practice Address - Street 1:1034 N 500 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3380
Practice Address - Country:US
Practice Address - Phone:801-357-7850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40934225100000X
UT9658767-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist