PETERSON CHIROPRACTIC CLINIC
NPI 1801070628
Chiropractor - Sports Physician in Logan, UT

Active since December 28, 2007
1415 N 400 E, SUITE A, LOGAN, UT 84341(435) 753-2840(435) 787-9422 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Chiropractic Clinic NPPES

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

PETERSON CHIROPRACTIC CLINIC (NPI 1801070628) is a healthcare organization registered as a sports physician in Logan, Utah and active in the NPI registry since December 2007. The organization lists James Lawrence Misustin, Owner, as its authorized official.

NPPES Registry Identity

NPI1801070628
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameMISUSTIN CHIROPRACTIC PC
Location Address1415 N 400 E, SUITE ALogan, UT 84341-7539
Mailing Address1415 N 400 E, Suite ALogan, UT 84341-7539 · (435) 753-2840 · Fax (435) 787-9422
Fax(435) 787-9422
Organization SubpartNo
Authorized OfficialJames Lawrence MisustinOwner · (435) 753-2840
Enumeration DateDecember 28, 2007
Last NPPES UpdateFebruary 27, 2008
NPI 1801070628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in UT · 320260-1202
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1415 N 400 E, Logan, UT 84341

Other Names 1

Doing Business AsPeterson Chiropractic Clinic

Other Identifiers 2

Medicare UPINT05589UT
Medicaid554155506001UT

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 3

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

Chiropractor (Rehabilitation)
1415 N 400 E, SUITE C
LOGAN, UT 84341
Chiropractor
1415 N 400 E, SUITE C
LOGAN, UT 84341
Chiropractor
1415 N 400 E, SUITE A
LOGAN, UT 84341

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 Misustin Chiropractic PC's NPI number?

The NPI number for Misustin Chiropractic PC is 1801070628. It was assigned to this organization in the NPPES registry on December 28, 2007. The provider is doing business as Peterson Chiropractic Clinic.

Where is Misustin Chiropractic PC located?

Misustin Chiropractic PC is located at 1415 N 400 E Suite A, Logan, UT 84341. The listed phone number is (435) 753-2840.

What is Misustin Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

What insurance does Misustin Chiropractic PC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Misustin Chiropractic PC 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 Misustin Chiropractic PC was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.