Organization
PEAK PERFORMANCE THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R CAMPBELL MSPT OCS CMPT (PRESIDENT/OWNER)
(970) 728-1888
Entity
Organization
Contact information
Practice address
300 W. COLORADO AVE, UNIT 2B, TELLURIDE, CO 81435-3178
(970) 728-1888
(970) 369-4671
Mailing address
PO BOX 3178, TELLURIDE, CO 81435-3178
(970) 728-1888
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2303
MEDICARE PTAN
CO
Enumeration date
08/15/2006
Last updated
09/15/2015
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