PETERSON WELLNESS CLINIC P.A.
NPI 1639791932
Chiropractor in Spicer, MN

Active since May 11, 2020
194 PROGRESS WAY, SPICER, MN 56288(320) 583-5839 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson Wellness Clinic P.a. NPPES

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

PETERSON WELLNESS CLINIC P.A. (NPI 1639791932), doing business as Green Lake Chiropractic Center, is a healthcare organization registered as a chiropractor in Spicer, Minnesota and active in the NPI registry since May 2020. The organization lists Zachary Leland Peterson, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1639791932
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSON WELLNESS CLINIC P.A.
Location Address194 PROGRESS WAYSpicer, MN 56288-5000
Mailing Address194 Progress WaySpicer, MN 56288-5000 · (320) 583-5839
Organization SubpartNo
Authorized OfficialZachary Leland PetersonChiropractor · (320) 583-5839
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
NPI 1639791932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
194 PROGRESS WAY, Spicer, MN 56288

Other Names 1

Doing Business AsGreen Lake Chiropractic Center

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
194 PROGRESS WAY
SPICER, MN 56288
Chiropractor
194 PROGRESS WAY
SPICER, MN 56288
Social Worker (Clinical)
194 PROGRESS WAY
SPICER, MN 56288
Nurse Practitioner (Psychiatric/Mental Health)
194 PROGRESS WAY
SPICER, MN 56288

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 Peterson Wellness Clinic P.A.'s NPI number?

The NPI number for Peterson Wellness Clinic P.A. is 1639791932. It was assigned to this organization in the NPPES registry on May 11, 2020. The provider is doing business as Green Lake Chiropractic Center.

Where is Peterson Wellness Clinic P.A. located?

Peterson Wellness Clinic P.A. is located at 194 Progress Way, Spicer, MN 56288. The listed phone number is (320) 583-5839.

What is Peterson Wellness Clinic P.A.'s specialty?

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

What insurance does Peterson Wellness Clinic P.A. accept?

Health plans from HealthPartners list Peterson Wellness Clinic P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson Wellness Clinic P.A. was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.