Organization · NPI-2

100 Chiro Peterson Walfoort, LLC

Chiropractor · Plano, TX

NPI number1083372767
StatusActive
Last updated in NPPESNov 30, 2021

Details

NPI
1083372767
Entity type
Organization (NPI-2)
Legal business name
100 Chiro Peterson Walfoort, LLC
Organization subpart
No
Enumeration date
Nov 30, 2021
Certification date
Nov 30, 2021
Last updated
Nov 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1921 Preston Rd Ste B2008
Plano, TX 75093-5124

Phone 719-252-8184

Mailing address

1921 Preston Rd Ste B2008
Plano, TX 75093-5124

Phone 719-252-8184

Authorized official

Michael Peterson
Franchisee
7192528184

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