Individual provider · Type 1 NPI

Shane C. Peterson, DC

Chiropractor · Menomonie, WI

NPI number 1194749333 Active

Practice location

2303 Schneider Ave SE, Suite 150
Menomonie, WI 54751-7005

Call (715) 233-1867 Map

Fax (715) 233-1868

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3763 (WI)

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.

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About NPI 1194749333

Shane C. Peterson, DC's National Provider Identifier is 1194749333, issued on Jul 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Menomonie, WI. The record was last updated on Jul 8, 2007.