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Organization
PEAK PHYSICAL THERAPY, LLC
Active
Organization
PEAK PHYSICAL THERAPY, LLC
Active
Other names
Peak PT - Prosper
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP OF REVENUE CYCLE)
(423) 238-3220
Entity
Organization
Contact information
Practice address
1000 N PRESTON RD STE 50, PROSPER, TX 75078-8889
(972) 347-9756
(972) 347-9761
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/19/2016
Last updated
07/02/2019
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