Healthcare Provider Details

I. General information

NPI: 1154279917
Provider Name (Legal Business Name): IRON MOUNTAIN ACUPUNCTURE AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 CARPENTER AVE STE 7
IRON MOUNTAIN MI
49801-4768
US

IV. Provider business mailing address

608 E D ST
IRON MOUNTAIN MI
49801-3528
US

V. Phone/Fax

Practice location:
  • Phone: 906-282-4450
  • Fax:
Mailing address:
  • Phone: 262-721-7182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: KIRA TRELOAR
Title or Position: OWNER AND ACUPUNCTURIST
Credential: DACCHM
Phone: 262-721-7182