DR. GLEN PETCAVAGE D.C.
NPI 1982920435
Chiropractor in Fort Collins, CO

Q: What is Glen Petcavage's NPI number?

The NPI number for Glen Petcavage is 1982920435. It was assigned to this individual provider in the NPPES registry on April 8, 2010.

Q: What is Glen Petcavage'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 Glen Petcavage was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 April 08, 2010

1225 REDWOOD ST, FORT COLLINS, CO 80524(970) 484-2023(866) 867-8553 Get Directions Write a Review

NPPES record last updated: April 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Glen Petcavage D.c. NPPES

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

DR. GLEN PETCAVAGE D.C. (NPI 1982920435) is an individual chiropractor in Fort Collins, Colorado, licensed in Colorado (CHR-6164) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1982920435

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GLEN PETCAVAGECredential: D.C.

Location Address1225 REDWOOD STFort Collins, CO 80524-2052

Mailing Address1225 Redwood StFort Collins, CO 80524-2052

Phone(970) 484-2023

Fax(866) 867-8553

Sole ProprietorYes

Enumeration DateApril 8, 2010

✔ NPI 1982920435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CO · CHR-6164

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.

1225 REDWOOD ST, Fort Collins, CO 80524

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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.

A LIFE WORTH LIVING

Substance Abuse Rehabilitation Facility

1225 REDWOOD ST
FORT COLLINS, CO 80524

Larimer County (970) 484-2023

A LIFE WORTH LIVING

Substance Abuse Rehabilitation Facility

1225 REDWOOD ST
FORT COLLINS, CO 80524

Larimer County (954) 587-7771

A LIFE WORTH LIVING

Substance Abuse Rehabilitation Facility

1225 REDWOOD ST
FORT COLLINS, CO 80524

Larimer County (303) 888-9592

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 Glen Petcavage's NPI number?

The NPI number for Glen Petcavage is 1982920435. It was assigned to this individual provider in the NPPES registry on April 8, 2010.

Where is Glen Petcavage located?

Glen Petcavage practices at 1225 Redwood St, Fort Collins, CO 80524. The listed phone number is (970) 484-2023.

What is Glen Petcavage'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 Glen Petcavage was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.