Organization Name: | PEAK PERFORMANCE THERAPY, P.C. |
NPI Number: | 1447263686 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R CAMPBELL (PRESIDENT/OWNER) |
Mailing Address: | 300 W. Colorado Ave Unit 2b Telluride |
State: | CO US |
Postal Code: | 814353178 |
Phone Number: | 9707281888 |
Fax Number: | 9703694671 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |