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Organization
PINNACLE-MOUNTAIN LAND THERAPY LC
Active
Organization
PINNACLE-MOUNTAIN LAND THERAPY LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDERSON PT (PRESIDENT)
(801) 942-3311
Entity
Organization
Contact information
Practice address
220 MILLPOND, SUITE 109, STANSBURY, UT 84074
(435) 882-4144
(435) 843-9568
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
09/11/2025
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