DR. RICKY LYNN PETHERS DC NPI 1982700456

NPI Information

  • NPI: 1982700456
  • Provider Name: DR. RICKY LYNN PETHERS, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 430 BOYNE AVE
    BOYNE CITY, MI
    ZIP 49712
  • Phone: (231) 582-6581

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NPI Details

DR. Ricky Lynn Pethers, DC is a chiropractor in Boyne City, MI with 48 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. DR. Ricky Lynn Pethers, DC NPI is 1982700456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year:1978

The provider's business location address is:

430 BOYNE AVE
BOYNE CITY, MI
ZIP 49712-263
Phone: (231) 582-6581
Fax: (231) 582-6449

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2301002936MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10A55010MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2950A55010OTHERMICHIGANBLUE CROSS/BLUE SHIELD
32099227MEDICAIDMICHIGAN

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: 11/21/2025

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