MEDICARE: ERIN VIEGUT PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11487	MN

General Provider Information

NPI Number	:	1871116467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN VIEGUT PT, DPT

Provider Business Mailing Address
First Line	:	1939 MINNEHAHA AVE W STE 300
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-1033
Country	:	US
Telephone Number	:	651-748-4338
Fax Number	:

Provider Business Practice Location Address
First Line	:	18055 198TH AVE NW UNIT B161
Second Line	:
City	:	BIG LAKE
State	:	MN
Zip	:	55309-4926
Country	:	US
Telephone Number	:	612-200-0619
Fax Number	:	612-844-9108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	06/02/2026

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