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Organization
PEAK FORM LLC
Active
Organization
PEAK FORM LLC
Active
Other names
Peak Form Medical Clinic, Peak Form Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HRUBES (CEO)
(720) 939-1058
Entity
Organization
Contact information
Practice address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(720) 939-1058
(303) 655-0063
Mailing address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(720) 939-1058
(303) 655-0063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
NULL
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
NULL
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
04/03/2007
Last updated
07/31/2020
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