# PEAK WELLNESS AND NUTRITION INC.

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

## Provider details

- **NPI number:** 1568766319
- **Authorized official:** MIKEL LOVE MS RD (PRESIDENT)
- **Authorized official phone:** (970) 259-1712

## Contact information

- **Practice address:** 2855 MAIN AVE, STE. 105A, DURANGO, CO 81301-5956
- **Practice address phone:** (970) 259-1712
- **Practice address fax:** (970) 259-2466
- **Mailing address:** PO BOX 2207, DURANGO, CO 81302-2207
- **Mailing address phone:** (970) 259-1712
- **Mailing address fax:** (970) 259-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 260007 | CO | Yes |

## Other

- **Enumeration date:** 01/07/2011
- **Last updated:** 01/07/2011