| Peterson Chiropractic Inc | |
|
1878 W. 3600 S., West Valley City, UT 84119-3893 | |
| (801) 972-1222 | |
| (801) 972-2134 |
| Full Name | Peterson Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1878 W. 3600 S., West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134333669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 173700-1202 (Utah) | Primary |
| Provider Name | Bruce C Koelliker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902902539 PECOS PAC ID: 9931255809 Enrollment ID: I20090917000276 |
| Provider Name | Bradley R Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790717817 PECOS PAC ID: 2466349451 Enrollment ID: I20120418000340 |
| Provider Name | Blake B Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962965855 PECOS PAC ID: 1153655048 Enrollment ID: I20190626003084 |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Chiropractic Inc 1878 W. 3600 S., West Valley City, UT 84119-3893 Ph: (801) 972-1222 | Peterson Chiropractic Inc 1878 W. 3600 S., West Valley City, UT 84119-3893 Ph: (801) 972-1222 |
Colin Lee Bench, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3800 W 3500 S, West Valley City, UT 84120 Phone: 801-973-1022 | |
Blake Molis, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3378 W 3500 S, West Valley City, UT 84119 Phone: 801-966-0342 | |
Chiropractic Health And Rehab, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1264 Village Main Dr, Suite A, West Valley City, UT 84119 Phone: 801-972-0393 Fax: 801-972-5707 | |
Dr. Michael Ron Frogley, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1264 Village Main Dr Unit A, West Valley City, UT 84119 Phone: 801-972-5285 | |
Dr. Michael Cheu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3534 S Redwood Rd, West Valley City, UT 84119 Phone: 801-972-2162 Fax: 801-972-3473 | |
Headache Relief Chiopractic And Massage Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2101 W 3500 S, West Valley City, UT 84119 Phone: 801-906-8256 Fax: 801-906-8256 |