Provider Demographics
NPI:1528480019
Name:GRABER, ZACHARY AARON (DPT, CSCS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:AARON
Last Name:GRABER
Suffix:
Gender:M
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 E HARMONY RD STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8623
Mailing Address - Country:US
Mailing Address - Phone:970-495-8490
Mailing Address - Fax:970-484-5682
Practice Address - Street 1:6767 29TH ST FL 1
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5474
Practice Address - Country:US
Practice Address - Phone:970-652-2777
Practice Address - Fax:970-313-2777
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH014451225100000X
COPTL.0013173225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist