Provider Demographics
NPI:1851900757
Name:GARBER, ANTHONY (PT)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:GARBER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16373 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:49099-9493
Mailing Address - Country:US
Mailing Address - Phone:574-238-3778
Mailing Address - Fax:
Practice Address - Street 1:2528 BYPASS RD
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1528
Practice Address - Country:US
Practice Address - Phone:574-238-3778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305213722225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist