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 (CLINIC DIRECTOR)
(720) 939-1058
Entity
Organization
Contact information
Practice address
695 S BROADWAY ST STE A, BOULDER, CO 80305-5925
(303) 402-9283
(303) 494-1251
Mailing address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(303) 655-9005
(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
—
—
363A00000X
Physician Assistant
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
08/18/2006
Last updated
07/31/2020
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