Provider Demographics
NPI:1992595516
Name:PEAK WELLNESS PT LLC
Entity type:Organization
Organization Name:PEAK WELLNESS PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BAILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-200-6970
Mailing Address - Street 1:2708 PALACE GREEN RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-1154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2708 PALACE GREEN RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-1154
Practice Address - Country:US
Practice Address - Phone:423-200-6970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy