Individual
MS. AKEISHA DANIELLE PEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 GAINEY DR, OAK GROVE, KY 42262-8259
(270) 987-8750
Mailing address
503 GAINEY DR, OAK GROVE, KY 42262-8259
(270) 987-8750
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9569
AKEISHA PEEK
KY
Enumeration date
04/18/2016
Last updated
04/18/2016
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