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Timothy Dee Petersen, DC
Chiropractor in Rocklin, California
NPI 1891853453

Timothy Dee Petersen is a Chiropractor based in Rocklin, CA. Timothy Dee Petersen practices in Rocklin, CA and has the professional credentials of DC. The NPI Number for Timothy Dee Petersen is 1891853453 and holds a License No. 21088 (California).

The current practice location address for Timothy Dee Petersen is 2351 Sunset Blvd, Rocklin, CA and can be reached out via phone at 916-624-2500 and via fax at 916-624-4196.

Location: 2351 Sunset Blvd, Rocklin, CA, 95765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891853453
Provider Name
Timothy Dee Petersen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2351 Sunset Blvd, Rocklin, CA, 95765
Phone Number
916-624-2500
Fax Number
916-624-4196
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TP1003401 01 CA HSHP
DC0210880 5422 01 CA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2351 Sunset Blvd
City
Rocklin
State
California
Zip
95765
Phone Number
916-624-2500
Fax Number
916-624-4196
person
Provider Business Mailing Address Details
Address
2351 Sunset Blvd
City
Rocklin
State
California
Zip
95765
Phone Number
916-624-2500
Fax Number
916-624-4196
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
21088 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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