Provider Demographics
NPI:1043410335
Name:GARBER, KURT ERWIN (DPT)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:ERWIN
Last Name:GARBER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 CAMELOT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-2650
Mailing Address - Country:US
Mailing Address - Phone:864-583-6420
Mailing Address - Fax:864-327-9044
Practice Address - Street 1:170 CAMELOT DR
Practice Address - Street 2:SUITE B
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2650
Practice Address - Country:US
Practice Address - Phone:864-583-6420
Practice Address - Fax:864-327-9044
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4095OtherLICENSE#