Provider Demographics
NPI:1427858620
Name:GREY WIND LLC
Entity type:Organization
Organization Name:GREY WIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUBLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:435-619-4353
Mailing Address - Street 1:83 S 2600 W # 204
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-3266
Mailing Address - Country:US
Mailing Address - Phone:435-680-3026
Mailing Address - Fax:435-635-3026
Practice Address - Street 1:83 S 2600 W # 204
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-3266
Practice Address - Country:US
Practice Address - Phone:435-680-3026
Practice Address - Fax:435-635-3026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health