Provider Demographics
NPI:1679364616
Name:PRESTON, CAMERON
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:PRESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25738 SUMMERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9659
Mailing Address - Country:US
Mailing Address - Phone:720-454-5250
Mailing Address - Fax:
Practice Address - Street 1:1140 EDWARDS VILLAGE BLVD # II
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5525
Practice Address - Country:US
Practice Address - Phone:970-569-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist