| NPI | 1811795685 |
|---|---|
| Doing Business As | PEAK SPORT AND SPINE |
| Entity Type | Organization |
| Authorized Contact | KARLEE ANN SHETTLESWORTH Occupational Therapist 573-999-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |