Organization
PEAK PERFORMANCE PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Active
Organization
PEAK PERFORMANCE PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI ANN TJELTA PT/ATC (PRESIDENT/OWNER)
(701) 947-2030
Entity
Organization
Contact information
Practice address
207 1ST AVE S, SUITE C, NEW ROCKFORD, ND 58356-1800
(701) 947-2030
Mailing address
207 1ST AVE S STE C, NEW ROCKFORD, ND 58356-1800
(701) 947-2030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20793500
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55080
—
ND
Enumeration date
10/11/2006
Last updated
04/26/2011
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