Organization
MOSCOW PHYSICAL THERAPY, LLC
Active
Other names
Peak Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLIE M MCCARTHY (VICE PRESIDENT)
(208) 314-5904
Entity
Organization
Contact information
Practice address
1174 ALTURAS DRIVE, SUITE 2, MOSCOW, ID 83843
(208) 375-0666
(208) 375-2996
Mailing address
1174 ALTURAS DRIVE, SUITE 2, MOSCOW, ID 83843
(208) 375-0666
(208) 375-2996
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
12/14/2022
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