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BLAKE PETERSON DC NPI 1962965855


NPI Information

NPI: 1962965855
Provider Name: BLAKE PETERSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: PETERSON CHIROPRACTIC Address:
1878 W 3600 S
WEST VALLEY CITY, UT
ZIP 84119
Phone: (801) 972-1222
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Blake Peterson, DC is a chiropractor in West Valley City, UT with 7 years of experience. 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. Blake Peterson, DC NPI is 1962965855. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:2017

The provider's business location address is:

1878 W 3600 S
WEST VALLEY CITY, UT
ZIP 84119-893
Phone: (801) 972-1222

The enumeration date for this NPI number is 4/9/2019 and was last updated on 4/9/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor10874281-1202UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.