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

Dr. Glen Petcavage, DC

Individual provider Chiropractor · NPI 1982920435

Dr. Glen Petcavage, DC is a Chiropractor in Fort Collins, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1225 Redwood St
Fort Collins, CO 80524-2052
Phone: (970) 484-2023
Fax: (866) 867-8553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHR-6164 (CO)

Record details

NPI number1982920435
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 8, 2010
Last updated in NPPESApril 8, 2010

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