Organization
PEAK FORM LLC
Active
Other names
Peak Form Medical Clinic, Peak Form Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HRUBES (CEO)
(720) 939-1058
Entity
Organization
Contact information
Practice address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(720) 939-1058
(303) 655-0063
Mailing address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(720) 939-1058
(303) 655-0063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
04/03/2007
Last updated
07/31/2020
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