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

Dr. Glen C Pettersen, DC

Individual provider Chiropractor · NPI 1386865319

Dr. Glen C Pettersen, DC is a Chiropractor in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2451 N McMullen Booth Rd Ste 312B
Clearwater, FL 33759-1342
Phone: (727) 260-4366
Fax: (727) 222-3838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH8923 (FL)

Record details

NPI number1386865319
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

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