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PETERSBURG SPINE & SPORT
NPI 1639318173
Chiropractor in Petersburg, IL

Active since February 06, 2009
115 E DOUGLAS AVE, PETERSBURG, IL 62675(217) 632-7599 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Petersburg Spine & Sport NPPES

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

PETERSBURG SPINE & SPORT (NPI 1639318173) is a healthcare organization registered as a chiropractor in Petersburg, Illinois and active in the NPI registry since February 2009. The organization lists Michael Gensler, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1639318173
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSBURG SPINE & SPORT INC
Location Address115 E DOUGLAS AVEPetersburg, IL 62675-1558
Mailing Address115 E Douglas AvePetersburg, IL 62675-1558 · (217) 632-7599
Phone(217) 632-7599
Organization SubpartNo
Authorized OfficialMichael GenslerChiropractor · (217) 632-7599
Enumeration DateFebruary 6, 2009
Last NPPES UpdateJanuary 5, 2015
✔ NPI 1639318173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038011323
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.
115 E DOUGLAS AVE, Petersburg, IL 62675
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Other Names 1

Doing Business AsPetersburg Spine & Sport

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Petersburg Spine & Sport Inc's NPI number?

The NPI number for Petersburg Spine & Sport Inc is 1639318173. It was assigned to this organization in the NPPES registry on February 6, 2009. The provider is doing business as Petersburg Spine & Sport.

Where is Petersburg Spine & Sport Inc located?

Petersburg Spine & Sport Inc is located at 115 E Douglas Ave, Petersburg, IL 62675. The listed phone number is (217) 632-7599.

What is Petersburg Spine & Sport Inc'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 Petersburg Spine & Sport Inc was last updated on January 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.