KELLY S. PETERSON ND – NPI #1235413758
Naturopath

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

KELLY PETERSON is a naturopath provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1235413758 to KELLY PETERSON on October 03, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175F00000X from the Health Care Provider Taxonomy code set, which is classified as Naturopath.

The NPI profile was previously updated about 7 years ago on Jan 02, 2019. See the complete NPI profile for KELLY PETERSON below.

NPI Profile for
KELLY S. PETERSON

NPI Number
1235413758
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY S. PETERSON
Credentials
ND
Primary location
638 FULTON ST W SUITE B
GRAND RAPIDS, MI 49504
Phone: (616) 264-6556 Fax: (616) 432-3564
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175F00000X
- Naturopath (Primary)
AZ 11-1263

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.