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

Blake Peterson, DC

Individual provider Chiropractor · NPI 1962965855

Blake Peterson, DC is a Chiropractic in West Valley City, Utah. Graduated from Life Chiropractic College - West in 2017, 9 years ago. Practices with Peterson Chiropractic Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Trained at
Life Chiropractic College - West
Licensed in
UT
In the registry since
2019
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1878 W 3600 S
West Valley City, UT 84119-3893
Phone: (801) 972-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 10874281-1202 (UT)

Record details

NPI number1962965855
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 9, 2019
Mailing address1878 W 3600 S, West Valley City, UT 84119-3893

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2017 (9 years in practice)
Group practice Peterson Chiropractic Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Valley City