Individual provider · Type 1 NPI

Robert Todd Petersen, DC, OPAC, ATC, LAT

Sports Physician Chiropractor · Dallas, TX

NPI number 1811917172 Active

Practice location

3408 Milton Ave
Dallas, TX 75205-1338

Call (214) 739-2225 Map

Fax (214) 739-2228

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Sports Physician Chiropractor Primary 111NS0005X9289 (TX)
Sports Physician Chiropractor 111NS0005X5118449-1202 (UT)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

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About NPI 1811917172

Robert Todd Petersen, DC, OPAC, ATC, LAT's National Provider Identifier is 1811917172, issued on Jul 20, 2006. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Dallas, TX. The record was last updated on Oct 30, 2014.