IndividualActive
Camille Porter
NPI 1881920403 · Physical Therapist · Providence, UT
Provider details
- NPI number
- 1881920403
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT60117603 (WA)
Practice location
169 N Gateway Dr Ste 160
Providence, UT 84332-9882
Phone: (435) 799-3111
Fax: (435) 799-3148
Mailing address
169 N Gateway Dr Ste 160
Providence, UT 84332-9882
Registry dates
- Enumerated
- 2009-11-02
- Last updated
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.