Individual
EATHYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
24700 N 67TH AVE, PEORIA, AZ 85383-4250
(623) 259-3458
Mailing address
26127 N 121ST AVE, PEORIA, AZ 85383-5801
(406) 925-3844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9389
AZ
2255A2300X
Athletic Trainer
—
UT
Other
Enumeration date
09/22/2014
Last updated
09/19/2024
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