NPI | 1215950175 |
---|---|
Doing Business As | PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | BRENDA J REEDER Director Of Billing 573-449-6082 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
2255A2300X Specialist/Technologist, Athletic Trainer | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2011-06-08 |