Individual provider · Type 1 NPI

Jennifer Jill Petersen, DC

Chiropractor · Lakeville, MN

NPI number 1124180104 Active

Practice location

20730 Holyoke Ave, Suite 34
Lakeville, MN 55044

Fax (952) 469-4017

Mailing address

PO Box 154
Lakeville, MN 55044-0154

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3661 (MN)

Chiropractor: 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.

2 other providers at this address

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About NPI 1124180104

Jennifer Jill Petersen, DC's National Provider Identifier is 1124180104, issued on Dec 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lakeville, MN. The record was last updated on Jul 8, 2007.