Individual
DR. TYLER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
920 W 21ST ST STE 104, SOUTH SIOUX CITY, NE 68776-2653
(402) 412-7587
(402) 625-6108
Mailing address
920 W 21ST ST STE 104, SOUTH SIOUX CITY, NE 68776-2653
(402) 412-7587
(402) 625-6108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1938
NE
Other
Enumeration date
04/25/2017
Last updated
04/28/2023
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