MEDICARE: PEAK SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	4090	OK

General Provider Information

NPI Number	:	1841659463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	9400 N BROADWAY
Second Line	:	SUITE 120
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7451
Country	:	US
Telephone Number	:	405-242-6486
Fax Number	:	405-286-4469

Provider Business Practice Location Address
First Line	:	9400 N BROADWAY
Second Line	:	SUITE 120
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7451
Country	:	US
Telephone Number	:	405-306-0176
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	TYLER ECKEL
Credential	:	P.T.
Telephone Number	:	405-306-0176

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	08/20/2016

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Directions to “PEAK SOLUTIONS, LLC ” Practice Location

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