Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETRA ALEXANDRA SULLWOLD, DC
Active Sole ProprietorDR. PETRA ALEXANDRA SULLWOLD, DC is a Chiropractor healthcare provider located in MANCOS, Colorado. NPI 1063661031 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · MANCOS, CO
Registration Details
- NPI Number
- 1063661031
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2008 (17.73219511351 yrs)
- Last Updated
- Nov 17, 2020
- License
-
31018 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
245 N MAIN STMANCOS, CO, 813289092Browse CO providers · Browse ZIP 81328
- Phone
- 9709038901
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in MANCOS, CO
| Name | Credential | NPI |
|---|---|---|
| LUCINDA GLASS | DC | 1780685016 |
| DR. TRAVIS LEE WHITE | D.C. | 1285865949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.