100 Chiro Peterson Walfoort, LLC

NPI #1083372767 in Plano, Texas

Provider Information

NPI Number: 1083372767
Entity Type: Organization
Organization Name: 100 Chiro Peterson Walfoort, LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 30, 2021
Last Updated: Nov 30, 2021

Practice Location

Address: 1921 PRESTON RD STE B2008
City: Plano
State: Texas
ZIP Code: 75093-5124
Phone: (719) 252-8184

Authorized Official

Name: DR. MICHAEL PETERSON
Title: FRANCHISEE
Phone: (719) 252-8184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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