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Organization
PEAKS SPORTS & SPINE PHYSICAL THERAPY
Active
Organization
PEAKS SPORTS & SPINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD CALLAN MSPT (CLINICAL DIRECTOR)
(509) 674-2526
Entity
Organization
Contact information
Practice address
801 W DAVIS ST, SUITE 103, CLE ELUM, WA 98922-1086
(509) 674-2526
(509) 674-2516
Mailing address
801 W DAVIS ST, SUITE 103, CLE ELUM, WA 98922-1086
(509) 674-2526
(509) 674-2516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131931
—
WA
Enumeration date
06/18/2006
Last updated
08/22/2020
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