| Peak Fitness Physical Therapy, Ps | |
| 506 Morgan Street, Davenport, WA 99122-0752 | |
| (509) 725-7325 | |
| (509) 725-5325 | 
| Full Name | Peak Fitness Physical Therapy, Ps | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 506 Morgan Street, Davenport, Washington | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447384235 | NPI | - | NPPES | 
| 7125768 | Medicaid | WA | |
| P00335661 | Other | WA | PALMETTO | 
| 0205378 | Other | WA | L & I | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT00006484 (Washington) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peak Fitness Physical Therapy, Ps Po Box 752, Davenport, WA 99122-0752 Ph: (509) 725-7325 | Peak Fitness Physical Therapy, Ps 506 Morgan Street, Davenport, WA 99122-0752 Ph: (509) 725-7325 | 
| Mr. Michael G Van Pevenage, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 Morgan Street, Davenport, WA 99122 Phone: 509-725-7325 Fax: 509-725-5325 | |
| Mrs. Mary Jo Jeffrey, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Nicholls St, Davenport, WA 99122 Phone: 509-725-7101 Fax: 509-725-2112 |