Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Superior Physical Therapy Inc

Organization Physical Therapist · NPI 1164429163

Lake Superior Physical Therapy Inc provides Physical Therapist services in Duluth, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 N Central Ave 14B
Duluth, MN 55807-2402 Not confirmed with CMS for 11 years — call before visiting
Phone: (218) 625-6300
Fax: (218) 724-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1164429163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Wallen — Business Manager · (218) 625-6300
NPI enumeratedJuly 5, 2005
Last updated in NPPESFebruary 25, 2015
Mailing address215 N Central Ave, 14b, Duluth, MN 55807-2402

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