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

Dr. Glen Petcavage, DC

Individual provider Chiropractor · NPI 1982920435

Dr. Glen Petcavage, DC is a Chiropractor in Fort Collins, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1225 Redwood St
Fort Collins, CO 80524-2052
Phone: (970) 484-2023
Fax: (866) 867-8553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHR-6164 (CO)

Record details

NPI number1982920435
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 8, 2010
Last updated in NPPESApril 8, 2010
Mailing address1225 Redwood St, Fort Collins, CO 80524-2052

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