Provider Demographics
NPI:1184330672
Name:REHKOW, AUSTIN DEAN (DC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:DEAN
Last Name:REHKOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1054 W MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043
Mailing Address - Country:US
Mailing Address - Phone:801-901-0213
Mailing Address - Fax:
Practice Address - Street 1:1054 W MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043
Practice Address - Country:US
Practice Address - Phone:801-901-0213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT132141781202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor