| Organization Name: | PEAK PERFORMANCE MEDICAL, LLC. |
| NPI Number: | 1760841977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID STONE (PRACTICE MANAGER) |
| Mailing Address: | 10582 Loveland Madeira Rd Loveland |
| State: | OH US |
| Postal Code: | 451408962 |
| Phone Number: | 5137600887 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |