Healthcare Provider Details

I. General information

NPI: 1104782994
Provider Name (Legal Business Name): PEAK THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 S DAVID ST
CASPER WY
82601-3136
US

IV. Provider business mailing address

606 S DAVID ST
CASPER WY
82601-3136
US

V. Phone/Fax

Practice location:
  • Phone: 307-315-5211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RYLIE GARNER
Title or Position: OWNER
Credential: OTR/L
Phone: 307-315-5211