Healthcare Provider Details

I. General information

NPI: 1003217449
Provider Name (Legal Business Name): ANDREW J REHEISSE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1996 E 6400 S STE 260
MURRAY UT
84121-2173
US

IV. Provider business mailing address

7351 S UNION PARK AVE STE 150
MIDVALE UT
84047-1869
US

V. Phone/Fax

Practice location:
  • Phone: 801-944-1855
  • Fax: 385-351-5950
Mailing address:
  • Phone: 801-944-1855
  • Fax: 385-351-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number9123542-1202
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9123542-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: