Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John R. Petersen DC PA

Organization Chiropractor · NPI 1194922179

John R. Petersen DC PA is a Chiropractor in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2216 County Road D W
Saint Paul, MN 55112-7500
Phone: (651) 639-1066
Fax: (651) 630-1069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4232 (MN)

Record details

NPI number1194922179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Petersen — Doctor Of Chiropractic · (651) 639-1066
Other names Spine & Sports Chiropractic
NPI enumeratedJuly 2, 2007
Last updated in NPPESDecember 3, 2008
Mailing address2216 County Road D W, Saint Paul, MN 55112-7500

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