Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Renee Irene Pethtel, DC

Individual provider Chiropractor · NPI 1760431977

Dr. Renee Irene Pethtel, DC is a Chiropractic in Dearborn Heights, Michigan. Graduated from Life Chiropractic College - West in 1996, 30 years ago. Practices with Van Born Chiropractic Clinic, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
Life Chiropractic College - West
Licensed in
MI
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

23610 Van Born Rd
Dearborn Heights, MI 48125-2356
Phone: (313) 291-1060
Fax: (313) 291-1089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301007287 (MI)

Record details

NPI number1760431977
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 8, 2006
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 1996 (30 years in practice)
Group practice Van Born Chiropractic Clinic, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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