Provider Demographics
NPI:1619267234
Name:GARBER PHYSICAL THERAPY
Entity Type:Organization
Organization Name:GARBER PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:864-423-4596
Mailing Address - Street 1:PO BOX 6498
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29304-6498
Mailing Address - Country:US
Mailing Address - Phone:864-583-6420
Mailing Address - Fax:864-585-5554
Practice Address - Street 1:201 S DEAN ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1986
Practice Address - Country:US
Practice Address - Phone:864-583-6420
Practice Address - Fax:864-585-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4095261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy