MRS. KELLY SUZANNE PETERSON ND
NPI 1235413758
Naturopath in Grand Rapids, MI
- Individual
- Female
- Naturopath
About KELLY PETERSON
This page provides the complete NPI Profile along with additional information for Kelly Peterson, a provider established in Grand Rapids, Michigan with a medical specialization in Naturopath. The healthcare provider is registered in the NPI registry with number 1235413758 assigned on October 2011. The practitioner's primary taxonomy code is 175F00000X with license number 009.0134076 (VT). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1235413758 Verify this NPI
- Provider Name
- MRS. KELLY SUZANNE PETERSON ND
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 638 FULTON ST W SUITE B GRAND RAPIDS, MI 49504
- Location Phone
- (616) 264-6556
- Location Fax
- (616) 432-3564
- Mailing Address
- 638 FULTON ST W SUITE B GRAND RAPIDS, MI 49504
- Mailing Phone
- (616) 264-6556
- Mailing Fax
- (616) 432-3564
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2011
- Last Update Date
- 01-02-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Naturopath
- Taxonomy Code
- 175F00000X
- Type
- Other Service Providers
- License No.
- 009.0134076
- License State
- VT
- Taxonomy Description
- Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 175F00000X | Other Service Providers | Naturopath | 11-1263 (AZ) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235413758, enumerated as an "individual" on October 03, 2011.
The provider is located at 638 FULTON ST W SUITE B GRAND RAPIDS, MI 49504 and the phone number is (616) 264-6556.
Naturopath with taxonomy code 175F00000X.
