Kameron Paul Graber, PT, DPT, LAT, ATC is a
Specialist/technologist - Athletic Trainer based in Loogootee, Indiana. Kameron Paul Graber is licensed to practice in Indiana (license number 36003713A) and his current practice location is
300 E Broadway St, Loogootee, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 709-3286.
NPI number for Kameron Paul Graber is 1629856695 and his current mailing address is 787 S 700 E, Montgomery, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629856695.
Healthcare Provider's Profile
Full Name | Kameron Paul Graber |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 300 E Broadway St, Loogootee, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629856695
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 08/25/2025
Medical Identifiers
Medical identifiers for Kameron Paul Graber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629856695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05016105A (Indiana) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 36003713A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kameron Paul Graber is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kameron Paul Graber, PT, DPT, LAT, ATC 787 S 700 E, Montgomery, IN 47558-5562 Ph: () - | Kameron Paul Graber, PT, DPT, LAT, ATC 300 E Broadway St, Loogootee, IN 47553-1708 Ph: (812) 709-3286 |
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