Organization
ASPIRUS KEWEENAW
Active
Organization
ASPIRUS KEWEENAW
Active
Other names
Aspirus Outpatient Therapies - Ontonagon
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
730 S 7TH ST, ONTONAGON, MI 49953-1451
(906) 884-8112
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/21/2024
Last updated
02/26/2026
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