DR. PETRA ALEXANDRA SULLWOLD DC
NPI 1063661031
Chiropractor in Mancos, CO

Q: What is Petra Sullwold's NPI number?

The NPI number for Petra Sullwold is 1063661031. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Q: What is Petra Sullwold's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Petra Sullwold was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2008

245 N MAIN ST, MANCOS, CO 81328(970) 903-8901 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Petra Alexandra Sullwold Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETRA ALEXANDRA SULLWOLD DC (NPI 1063661031) is an individual chiropractor in Mancos, Colorado, licensed in California (31018) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1063661031

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. PETRA ALEXANDRA SULLWOLDCredential: DC

Location Address245 N MAIN STMancos, CO 81328-9092

Mailing AddressPo Box 536Mancos, CO 81328-0536 · (970) 903-8901

Phone(970) 903-8901

Sole ProprietorYes

Enumeration DateSeptember 15, 2008

Last NPPES UpdateNovember 17, 2020

NPPES CertifiedNovember 17, 2020

✔ NPI 1063661031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 31018

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.

245 N MAIN ST, Mancos, CO 81328

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petra Sullwold's NPI number?

The NPI number for Petra Sullwold is 1063661031. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Petra Sullwold located?

Petra Sullwold practices at 245 N Main St, Mancos, CO 81328. The listed phone number is (970) 903-8901.

What is Petra Sullwold's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Petra Sullwold was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.