PETERSEN CHIROPRACTIC LLC NPI 1023324597

NPI Information

PETERSEN CHIROPRACTIC LLC is a chiropractor in Gillette, WY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PETERSEN CHIROPRACTIC LLC NPI is 1023324597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3805 S DOUGLAS HWY
UNIT # 2
GILLETTE, WY
ZIP 82718-554
Phone: (307) 686-0303
Fax: (307) 686-2882

The provider's authorized official is Clinton Jerome Petersen .
The authorized official title is Doctor/owner and has the following contact phone number (307) 686-0303.

The enumeration date for this NPI number is 8/23/2010 and was last updated on 8/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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