# PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS

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

## Provider details

- **NPI number:** 1780731992
- **Authorized official:** RODNEY EDWARD WADE PT (OWNER)
- **Authorized official phone:** (435) 654-3719

## Contact information

- **Practice address:** 23 SOUTH MAIN STREET, COALVILLE, UT 84017
- **Practice address phone:** (435) 654-3719
- **Mailing address:** PO BOX 307, BOUNTIFUL, UT 84011-0307
- **Mailing address phone:** (888) 700-6907
- **Mailing address fax:** (801) 294-6917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5327836-2401 | UT | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 11/14/2007