# PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316701626
- **Authorized official:** MR. KEVIN MICHAEL GUILBEAUX DPT (PHYSICAL THERAPIST/CO-OWNER)
- **Authorized official phone:** (337) 540-4910

## Contact information

- **Practice address:** 3813 MAPLEWOOD DR, SULPHUR, LA 70663-6349
- **Practice address phone:** (337) 540-4910
- **Mailing address:** 117 CASSY DR, SULPHUR, LA 70663-6555
- **Mailing address phone:** (337) 540-4910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2024
- **Last updated:** 03/21/2024