Healthcare Provider Details

I. General information

NPI: 1316647258
Provider Name (Legal Business Name): 583 THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 5TH ST NE
DEVILS LAKE ND
58301-2425
US

IV. Provider business mailing address

213 5TH ST NE
DEVILS LAKE ND
58301-2425
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-2216
  • Fax:
Mailing address:
  • Phone: 701-662-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: EMILEE LUEHRING
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L, CLT
Phone: 701-351-6274