Organization
PEAK PERFORMANCE PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. EDWARD WADE MPT (THERAPIST)
(435) 336-5440
Entity
Organization
Contact information
Practice address
23 SOUTH MAIN, COALVILLE, UT 84017
(435) 336-5440
(435) 336-5442
Mailing address
PO BOX 982017, PARK CITY, UT 84098-2017
(435) 336-5440
(435) 336-5442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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