Organization
COMPREHENSIVE ORTHOPAEDICS SC
Active
Parent organization
COMPREHENSIVE ORTHOPAEDICS SC
Other names
Comprehensive Orthopaedics Advanced Imaging and Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE ORTHOPAEDICS SC
Authorized official
KRISTIN SPIEDEL (OPERATIONS MANAGER)
(262) 764-5891
Entity
Organization
Contact information
Practice address
6804 GREEN BAY RD STE 108, KENOSHA, WI 53142-1451
(262) 764-5595
Mailing address
7401 104TH AVE STE 110, KENOSHA, WI 53142-7845
(262) 764-5891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295717445
GROUP NPI
WI
05
—
32809300
—
WI
Enumeration date
06/17/2025
Last updated
05/01/2026
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