Pine Peak Therapy LLC

NPI #1982477030 in Fosston, Minnesota

Provider Information

NPI Number: 1982477030
Entity Type: Organization
Organization Name: Pine Peak Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 31, 2023
Last Updated: Jun 10, 2025

Practice Location

Address: 903 HILLIGOSS BLVD SE
City: Fosston
State: Minnesota
ZIP Code: 56542-1541
Phone: (218) 435-1210

Authorized Official

Name: MALLORY ALICE VIG, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (218) 435-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Audiologist	231H00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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