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Search › Texas › 111NS0005X

Robert Petersen, DC, OPAC, ATC, LAT

NPI 1811917172 · on the registry since 2006 · sole proprietor

Practice

Address
3408 Milton Ave
Dallas, TX 75205
Phone
(214) 739-2225
Fax
(214) 739-2228
Organisation at this address
Park Cities Chirosport Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
111NS0005X
111NS0005X
Also registered as
363A00000X
111NS0005X
Licence states on file
TX, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas