NPI 1508039777

Matthew S. Peterson, DC

Practitioner Chiropractor Elma, WA

Practice location

Address: 103 N. 1st Street, Elma, WA 98541-0656
Phone: (360) 482-5155
Fax: (360) 482-4155
Mailing address: PO Box 656, Elma, WA 98541-0656

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH00003029 (WA)

Other Chiropractor providers in Washington →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence 295378-1202 (UT)

Registry record

NPI: 1508039777
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2008
Record last updated: 12 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.