Organization
HEARTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN PETERSON DC (DOCTOR OF CHIROPRACTIC)
(815) 814-4841
Entity
Organization
Contact information
Practice address
S83W27690 BEAVER TRL, MUKWONAGO, WI 53149-9662
(262) 204-7844
Mailing address
S83W27690 BEAVER TRL, MUKWONAGO, WI 53149-9662
(262) 204-7844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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