Michaela Peterson, DC
Individual provider Active NPI Chiropractor · Aptos, CA
NPI 1124771894 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1124771894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC36245 (CA)
- Practice address
- 9053 Soquel Dr Ste a
Aptos, CA 95003-4034 - Phone
- (831) 661-5577
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36245 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36245 | CA | Yes |
Addresses
Primary practice location
9053 Soquel Dr Ste a
Aptos, CA 95003-4034
Mailing address
9053 Soquel Dr Ste a
Aptos, CA 95003-4034
Phone (831) 661-5577
Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.