Provider Demographics
NPI:1336744580
Name:KINDT, CAMBRY GABRIELLA
Entity type:Individual
Prefix:
First Name:CAMBRY
Middle Name:GABRIELLA
Last Name:KINDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5068 W CHARLENE LN
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-4574
Mailing Address - Country:US
Mailing Address - Phone:801-696-3152
Mailing Address - Fax:
Practice Address - Street 1:1860 E 250 S
Practice Address - Street 2:HPER EAST, ROOM 208
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84112
Practice Address - Country:US
Practice Address - Phone:801-585-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer