Provider Demographics
NPI:1275711897
Name:GUBLER'S PHYSICAL THERAPY
Entity Type:Organization
Organization Name:GUBLER'S PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:CAL
Authorized Official - Last Name:GUBLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:435-635-9333
Mailing Address - Street 1:83 S 2600 W
Mailing Address - Street 2:STE 201
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-3270
Mailing Address - Country:US
Mailing Address - Phone:435-635-9333
Mailing Address - Fax:435-635-3026
Practice Address - Street 1:83 S 2600 W
Practice Address - Street 2:STE 201
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-3270
Practice Address - Country:US
Practice Address - Phone:435-635-9333
Practice Address - Fax:435-635-3026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTQMO0000076016OtherINSURANCE COMPANY
UTQMO0000076016OtherINSURANCE COMPANY