Provider Demographics
NPI:1548049992
Name:PEAK THERAPY SERVICES
Entity type:Organization
Organization Name:PEAK THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:218-537-3697
Mailing Address - Street 1:14344 GRAND OAKS DR APT 5
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8823
Mailing Address - Country:US
Mailing Address - Phone:218-537-3697
Mailing Address - Fax:
Practice Address - Street 1:307 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-2923
Practice Address - Country:US
Practice Address - Phone:218-537-3697
Practice Address - Fax:833-930-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)