| Organization Name: | ASPIRUS KEWEENAW |
| NPI Number: | 1205164555 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANE M JACQUES (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1000 Cedar Street Houghton |
| State: | MI US |
| Postal Code: | 499312801 |
| Phone Number: | 9064828201 |
| Fax Number: | 9064822771 |
| NPI Enumeration Date: | 11/25/2009 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 310021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |