100 Chiro Peterson Six LLC

NPI #1568195402 in Johnstown, Colorado

Provider Information

NPI Number: 1568195402
Entity Type: Organization
Organization Name: 100 Chiro Peterson Six LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 7, 2022
Last Updated: Jul 7, 2022

Practice Location

Address: 4855 B THOMPSON PARKWAY
City: Johnstown
State: Colorado
ZIP Code: 80534
Phone: (970) 669-2003

Authorized Official

Name: MICHAEL PETERSON, DC
Title: OWNER/CHIROPRACTOR
Phone: (970) 669-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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