PETTIBON CHIROPRACTIC CLINIC OF FEDERAL WAY INC.
NPI 1134487846
Chiropractor in Federal Way, WA

Active since May 01, 2012
30804 PACIFIC HWY S, FEDERAL WAY, WA 98003(253) 839-5644(253) 839-2625 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pettibon Chiropractic Clinic Of Federal Way Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETTIBON CHIROPRACTIC CLINIC OF FEDERAL WAY INC. (NPI 1134487846) is a healthcare organization registered as a chiropractor in Federal Way, Washington and active in the NPI registry since May 2012. The organization lists Sam L Pettibon, Owner, as its authorized official.

NPPES Registry Identity

NPI1134487846
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETTIBON CHIROPRACTIC CLINIC OF FEDERAL WAY INC.
Location Address30804 PACIFIC HWY SFederal Way, WA 98003-4902
Mailing Address30804 Pacific Hwy SFederal Way, WA 98003-4902 · (253) 839-5644 · Fax (253) 839-2625
Fax(253) 839-2625
Organization SubpartNo
Authorized OfficialSam L PettibonOwner · (253) 839-5644
Enumeration DateMay 1, 2012
Last NPPES UpdateSeptember 4, 2012
NPI 1134487846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · 199010175600BL
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

30804 PACIFIC HWY S, Federal Way, WA 98003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Rehabilitation)
30804 PACIFIC HWY S
FEDERAL WAY, WA 98003
Chiropractor
30804 PACIFIC HWY S
FEDERAL WAY, WA 98003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pettibon Chiropractic Clinic Of Federal Way Inc.'s NPI number?

The NPI number for Pettibon Chiropractic Clinic Of Federal Way Inc. is 1134487846. It was assigned to this organization in the NPPES registry on May 1, 2012.

Where is Pettibon Chiropractic Clinic Of Federal Way Inc. located?

Pettibon Chiropractic Clinic Of Federal Way Inc. is located at 30804 Pacific Hwy S, Federal Way, WA 98003. The listed phone number is (253) 839-5644.

What is Pettibon Chiropractic Clinic Of Federal Way Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Pettibon Chiropractic Clinic Of Federal Way Inc. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pettibon Chiropractic Clinic Of Federal Way Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pettibon Chiropractic Clinic Of Federal Way Inc. was last updated on September 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.