Clark Allen Petersen, D.C.

Chiropractor · Manhattan, KS

Individual Active NPI

NPI number 1285600809

Practice location

1419 Westport Landing Place Suite 109
Manhattan, KS 66502
Phone
(785) 776-5778

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NPI record

NPI
1285600809
Entity type
Individual (Type 1)
Enumeration date
February 23, 2006
Last updated
May 4, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 01-03705 KS

Mailing address

2118 Hillview Dr
Manhattan, KS 66502-1941
Phone
(785) 776-0687

About Dr. Petersen

Clark Allen Petersen, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1419 Westport Landing Place Suite 109, Manhattan, KS 66502. The NPI number 1285600809 was assigned on February 23, 2006 and the record was last updated on May 4, 2010.

Dr. Petersen lists a license in the registry: #01-03705 (KS) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clark Allen Petersen, D.C.?

The NPI number is 1285600809.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (785) 776-5778.

Where is Dr. Petersen located?

1419 Westport Landing Place Suite 109, Manhattan, KS 66502.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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