Individual provider · Type 1 NPI
Clark Allen Petersen, DC
Chiropractor · Manhattan, KS
NPI number
1285600809
Active
Practice location
1419 Westport Landing Place Suite 109
Manhattan, KS 66502
Mailing address
2118 Hillview Dr
Manhattan, KS 66502-1941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 01-03705 (KS) |
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 1285600809
Clark Allen Petersen, DC's National Provider Identifier is 1285600809, issued on Feb 23, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Manhattan, KS. The record was last updated on May 4, 2010.