DR. REESE RAYMOND PETERSEN (NPI# 1942619713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942619713 |
| Entity Type | Individual |
| Full Name | DR. REESE RAYMOND PETERSEN |
| Credential | DC |
| Practice Address |
2319 S 19th St Clinton IA 52732 |
| Mailing Address |
2418 S 18th St Clinton IA 52732-6827 |
| Practice Telephone | 5632596173 |
| Mailing Telephone | 5632897171 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 074678 | IA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2344 Camanche Ave, Clinton, IA 527326034 | 5632596175 | 5632198897 |
| 2418 S 18th St, Clinton, IA 527326827 | 5632897171 |
| Street Address |
2319 S 19TH ST |
| City | CLINTON |
| State | IA |
| Zip Code | 52732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510896 | Doc's Body Shop, Pllc | Chiropractor | 2319 S 19th St, Clinton, IA 52732-6835 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| 1821218983 | Pathway Living Center, Inc | Community/Behavioral Health | 562 2nd Ave S, Clinton, IA 52732 | 2007-04-30 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912030 | Morgan Jean Hickman | Chiropractor | 211 S Quincy St, Clinton, IL 61727-1953 | 2019-09-25 |
| 1699244871 | Pinnacle Integrative Healthcare, Pllc | Chiropractor | 2418 S 18th St, Clinton, IA 52732-6827 | 2018-11-17 |
| 1437627734 | Ashley Lynn Susie | Chiropractor | 3008 Lincoln Way Ste B, Clinton, IA 52732-7240 | 2018-11-05 |
| 1609342609 | Warren Chiropractic & Wellness Clinic, LLC | Chiropractor | 244 Highway 65 N Ste 1, Clinton, AR 72031-6677 | 2018-10-17 |
| 1609390699 | Abundant Health Chiropractic LLC | Chiropractor | 90 Beaver Ave Ste 302, Clinton, NJ 08809-1017 | 2017-08-01 |
| 1699204180 | Resurgencepro | Chiropractor | 1641 N 2475 W, Clinton, UT 84015-8237 | 2017-06-08 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1154739621 | Melissa Peters | Chiropractor | 2344 Camanche Ave, Clinton, IA 52732-6034 | 2014-07-29 |
| 1912335860 | Clinton Back and Neck Family Wellness, PC | Chiropractor | 951 13th Ave N, Clinton, IA 52732-5032 | 2013-10-30 |
| 1114223328 | Hayford Osei Anane | Chiropractor | 7801 Old Branch Ave Ste 402, Clinton, MD 20735-1644 | 2011-02-04 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.