Organization
PEAK PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DALE BIERY MBA (CO-OWNER)
(208) 305-3539
Entity
Organization
Contact information
Practice address
216 LARKSPUR LN, LEWISTON, ID 83501-9600
(208) 746-0455
(208) 746-0688
Mailing address
216 LARKSPUR LN, LEWISTON, ID 83501-9600
(208) 746-0455
(208) 746-0688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
09/09/2010
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