Individual provider · Type 1 NPI

Brad Niel Peterson, DC

Chiropractor · South Jordan, UT

NPI number 1659390417 Active

Practice location

10358 S Redwood Rd
South Jordan, UT 84095-9339

Fax (801) 254-5739

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X176210-1202 (UT)

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 1659390417

Brad Niel Peterson, DC's National Provider Identifier is 1659390417, issued on Jul 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South Jordan, UT. The record was last updated on Dec 16, 2010.