Individual provider · Type 1 NPI

Glen Petcavage, DC

Chiropractor · Fort Collins, CO

NPI number 1982920435 Active

Practice location

1225 Redwood St
Fort Collins, CO 80524-2052

Call (970) 484-2023 Map

Fax (866) 867-8553

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHR-6164 (CO)

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 1982920435

Glen Petcavage, DC's National Provider Identifier is 1982920435, issued on Apr 8, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Collins, CO. The record was last updated on Apr 8, 2010.