Organization Name: | PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER PLLC |
NPI Number: | 1033206677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON POE (OWNER) |
Mailing Address: | 6045 Alma Rd Ste 320 Mckinney |
State: | TX US |
Postal Code: | 750702188 |
Phone Number: | 9725699050 |
Fax Number: | 9725699076 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |