Provider Demographics
NPI:1619214194
Name:PEAK PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:PEAK PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAYDEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILKE
Authorized Official - Suffix:
Authorized Official - Credentials:MSR, PT
Authorized Official - Phone:843-345-9676
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:WY
Mailing Address - Zip Code:83014
Mailing Address - Country:US
Mailing Address - Phone:307-699-7667
Mailing Address - Fax:307-200-6597
Practice Address - Street 1:1230 N. FALL CREEK RD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:WY
Practice Address - Zip Code:83014
Practice Address - Country:US
Practice Address - Phone:307-699-7667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty