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Organization
PEAK WELLNESS THERAPY PC
Active
Organization
PEAK WELLNESS THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY GALLON (CREDENTIAL & ENROLLMENT SPECIALIST)
(314) 495-6037
Entity
Organization
Contact information
Practice address
530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
(618) 233-3321
(618) 233-4758
Mailing address
530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
(618) 233-3324
(618) 233-4758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830078540
—
MO
Enumeration date
04/08/2024
Last updated
04/08/2024
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