Individual
AMANDA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2299 PEARL ST STE 105, BOULDER, CO 80302-4669
(303) 736-9343
Mailing address
11362 CENTRAL CT APT 201, BROOMFIELD, CO 80021-5049
(785) 317-4865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0007850
CO
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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