Provider Demographics
NPI:1134781677
Name:PEAK SOLUTIONS, LLC
Entity type:Organization
Organization Name:PEAK SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ECKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-306-0176
Mailing Address - Street 1:9400 N BROADWAY STE 120
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7407
Mailing Address - Country:US
Mailing Address - Phone:405-242-6486
Mailing Address - Fax:405-286-4469
Practice Address - Street 1:12401 TRAIL OAKS DRIVE
Practice Address - Street 2:THERAPY ROOM, 2ND FLOOR
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-242-6486
Practice Address - Fax:405-286-4469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEAK SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy