Individual
TEDDI ERIKSEN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
624 N DIXIE BLVD, RADCLIFF, KY 40160-1311
(270) 351-6074
Mailing address
415 CARDINAL DR, ELIZABETHTOWN, KY 42701-2769
(270) 737-7597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
268151
KY
Other
Enumeration date
01/11/2021
Last updated
07/18/2023
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