The Spa at the Peak

Primary specialty

SpecialistTaxonomy code 174400000X

License

COS-SLN-LIC-4359 Issued in MT

Legal business name

THE SPA AT THE PEAK

Practice address

5000 Blue Mountain Rd
Missoula, MT 59804-9213

Phone

(406) 251-8200

Fax

(406) 251-3332

NPI assigned

Jul 21, 2014

Organization subpart

Yes

Parent organization

PEAK HEALTH AND WELLNESS CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Wagner

Title

Spa Manager

Phone

(406) 251-8200

Specialties & licenses 1

Addresses

Part of

The Spa at the Peak

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1366859464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049213",
            "telephone_number": "406-251-8200",
            "fax_number": "406-251-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049213",
            "telephone_number": "406-251-8200",
            "fax_number": "406-251-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPA AT THE PEAK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK HEALTH AND WELLNESS CENTER",
        "enumeration_date": "2014-07-21",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SPA MANAGER",
        "authorized_official_telephone_number": "406-251-8200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": "COS-SLN-LIC-4359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Heights
• The Hope Health Alliance, Inc.
• The Lifeguardgroup
• The Missoula Meridian
• The Montana Healthy Weight Management and Wellness Center, PC
• The University of Montana
• Michael David Thein, M.D.
• Therapeutic Rehab Solutions, PLLC
• Therapy Bear, PLLC
• Theresa M Reed PHD PC

• Specialist in Missoula, MT
• Providers in Missoula, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.