Individual
DR. TRACI L. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
346 2ND ST, REEDSBURG, WI 53959-1611
(608) 524-9600
(608) 524-4792
Mailing address
420 VIKING DR, REEDSBURG, WI 53959-1675
(608) 524-2616
(608) 524-3697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3064
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38876900
—
WI
Enumeration date
09/25/2006
Last updated
11/06/2023
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