Individual provider · Type 1 NPI

Glen C. Pettersen, DC

Chiropractor · Clearwater, FL

NPI number 1386865319 Active

Practice location

2451 N Mcmullen Booth Rd Ste 312B
Clearwater, FL 33759-1342

Call (727) 260-4366 Map

Fax (727) 222-3838

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH8923 (FL)

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 1386865319

Glen C. Pettersen, DC's National Provider Identifier is 1386865319, issued on May 1, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Clearwater, FL. The record was last updated on Apr 5, 2021.