# ORIGIN RESTORE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619896594
- **Authorized official:** HANNAH MULARONI (OWNER)
- **Authorized official phone:** (507) 227-7573

## Contact information

- **Practice address:** 5800 E 18TH ST STE 102, SIOUX FALLS, SD 57110-2711
- **Practice address phone:** (507) 227-7573
- **Mailing address:** 704 S 4TH CIR, BRANDON, SD 57005-1203
- **Mailing address phone:** (507) 227-7573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2026
- **Last updated:** 07/14/2026
