Individual provider · Type 1 NPI

Keith A. Peterson, DC

Chiropractor · Rolla, MO

NPI number 1972679439 Active

Practice location

1205 Hauck Dr
Rolla, MO 65401-4900

Fax (573) 426-2290

Mailing address

12661 County Road 5050
Rolla, MO 65401-8053

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2003008892 (MO)

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 1972679439

Keith A. Peterson, DC's National Provider Identifier is 1972679439, issued on Nov 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Rolla, MO. The record was last updated on Dec 2, 2016.