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

Blake Peterson, DC

Individual provider Chiropractor · NPI 1962965855

Blake Peterson, DC is a Chiropractic in West Valley City, Utah. Graduated from Life Chiropractic College - West in 2017, 9 years ago. Practices with Peterson Chiropractic Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Trained at
Life Chiropractic College - West
Licensed in
UT
In the registry since
2019
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1878 W 3600 S
West Valley City, UT 84119-3893
Phone: (801) 972-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 10874281-1202 (UT)

Record details

NPI number1962965855
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 9, 2019

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2017 (9 years in practice)
Group practice Peterson Chiropractic Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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