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General NPI Number Information
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NPI Number | 1437009693
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE PHYSICAL THERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 201-B EAST TEXAS STREET
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City | STRATFORD
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State | TX
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Zip | 79084
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Country | US
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Telephone | 580-651-3025
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Fax | 580-297-9223
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Provider Business Mailing Address
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Address Line | PO BOX 554
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City | GOODWELL
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State | OK
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Zip | 73939-0554
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Country | US
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Telephone | 580-651-3025
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Fax | 580-297-9223
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | JENA KAYE FANKHOUSER
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Credential | PTA
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Telephone | 580-651-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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