Organization
PEAK PERFORMANCE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ANNE OLSON (OWNER)
(406) 542-0808
Entity
Organization
Contact information
Practice address
1940 HARVE AVE, STE2, MISSOULA, MT 59801-8332
(406) 542-0808
Mailing address
1940 HARVE AVE, STE 2, MISSOULA, MT 59801-8332
(406) 542-0808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063439024
—
MT
05
—
1083346506
—
MT
05
—
1194370270
—
MT
05
—
1215530159
—
MT
05
—
1366282436
—
MT
05
—
1407085640
—
MT
05
—
1760174288
—
MT
05
—
8822411
—
MT
Enumeration date
10/11/2005
Last updated
02/11/2025
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