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

Michael Jacob Petersen

Individual provider Community Health Worker · NPI 1386352219

Michael Jacob Petersen is a Community Health Worker in West Valley, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2022

Practice location Address checks out

3280 W 3500 S Ste B
West Valley, UT 84119-2627
Phone: (801) 979-1351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (UT)

Record details

NPI number1386352219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing address3739 W 5100 S, Taylorsville, UT 84129-3527

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