Healthcare Provider Details

I. General information

NPI: 1457283921
Provider Name (Legal Business Name): CALIN GARTH GUBLER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 S 2600 W STE 201
HURRICANE UT
84737-3270
US

IV. Provider business mailing address

83 S 2600 W STE 201
HURRICANE UT
84737-3270
US

V. Phone/Fax

Practice location:
  • Phone: 435-635-9333
  • Fax:
Mailing address:
  • Phone: 435-635-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11770893-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: