Healthcare Provider Details

I. General information

NPI: 1588094007
Provider Name (Legal Business Name): PEAK HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HOLLOW BROOK DR STE 210
COLORADO SPRINGS CO
80918-8415
US

IV. Provider business mailing address

2150 HOLLOW BROOK DR STE 210
COLORADO SPRINGS CO
80918-8415
US

V. Phone/Fax

Practice location:
  • Phone: 719-380-8988
  • Fax: 719-434-5236
Mailing address:
  • Phone: 719-380-8988
  • Fax: 719-434-5236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateCO

VIII. Authorized Official

Name: BRANDT JEFF MCFARLANE
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 719-380-8988