Individual
MR. KIRK MICHAEL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, PH.D, CSCS
Contact information
Practice address
2602 J ST, OMAHA, NE 68107-1643
(402) 733-3612
(402) 733-3487
Mailing address
3514 CALIFORNIA ST, OMAHA, NE 68131-1910
(402) 344-0722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
999
NE
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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