Provider Demographics
NPI:1417302266
Name:PEAK THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:PEAK THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:870-584-1085
Mailing Address - Street 1:300 W COLLIN RAYE DR SPC 106A
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-2007
Mailing Address - Country:US
Mailing Address - Phone:870-584-1085
Mailing Address - Fax:870-584-1095
Practice Address - Street 1:300 W COLLIN RAYE DR
Practice Address - Street 2:SPACE 105,106A
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-2007
Practice Address - Country:US
Practice Address - Phone:870-584-1085
Practice Address - Fax:870-584-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty