Provider Demographics
NPI:1285942896
Name:GARBER, CAMERON GREGORY (DPT)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:GREGORY
Last Name:GARBER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 S 1475 E
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4833
Mailing Address - Country:US
Mailing Address - Phone:801-479-4471
Mailing Address - Fax:801-479-4577
Practice Address - Street 1:5728 S 1475 E
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4833
Practice Address - Country:US
Practice Address - Phone:801-479-4471
Practice Address - Fax:801-479-4577
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4934106-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist