Jennifer Jill Petersen, D.C. Valid NPI
Individual provider · Chiropractor · Lakeville, MN
- NPI
- 1124180104
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 3661 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-12-15
- Last updated
- 2007-07-08
Practice location
20730 Holyoke Ave, Suite 34
Lakeville, MN 55044
(952) 469-6016