Provider Demographics
NPI:1447830500
Name:VANDEGRIFT, RHIANNON (DAT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:
Last Name:VANDEGRIFT
Suffix:
Gender:
Credentials:DAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 S 1850 W
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-8270
Mailing Address - Country:US
Mailing Address - Phone:801-661-9106
Mailing Address - Fax:
Practice Address - Street 1:1301 N COLUMBIA RD # E374
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58202-6098
Practice Address - Country:US
Practice Address - Phone:701-777-6934
Practice Address - Fax:701-777-6934
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer