Organization
PEAK FORM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HRUBES (CEO)
(720) 716-4518
Entity
Organization
Contact information
Practice address
8225 W 20TH ST, GREELEY, CO 80634-3037
(720) 716-4518
(833) 971-1890
Mailing address
1260 E 1ST AVE UNIT A, BROOMFIELD, CO 80020-3792
(720) 716-4518
(888) 971-1890
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
10/28/2024
Last updated
10/28/2024
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