Organization
PEAK ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J RUSSON MS PT ATC (OWNER)
(360) 794-7520
Entity
Organization
Contact information
Practice address
14841 179TH AVE SE, SUITE 340, MONROE, WA 98272-1127
(360) 794-7520
(360) 794-8947
Mailing address
14841 179TH AVE SE, SUITE 340, MONROE, WA 98272-1127
(360) 794-7520
(360) 794-8947
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0000754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7116288
—
WA
Enumeration date
09/12/2007
Last updated
06/18/2025
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