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

Dr. Jay Joseph Peterson, DC

Individual provider Chiropractor · NPI 1174743421

Dr. Jay Joseph Peterson, DC is a Chiropractor in Edgerton, Wisconsin. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
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

701 Elm Dr
Edgerton, WI 53534-1212
Phone: (608) 931-5657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 01-05102 (KS)

Record details

NPI number1174743421
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address701 Elm Drive, Edgerton, WI 53534-1212

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