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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
Phone(253) 839-5644
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

SAM L PETTIBON D.O.
Chiropractor (Rehabilitation)
30804 PACIFIC HWY S
FEDERAL WAY, WA 98003
King County (253) 839-5644

Frequently Asked Questions

What is PETTIBON CHIROPRACTIC CLINIC OF FEDERAL WAY INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1134487846, enumerated as an "organization" on May 01, 2012.

Where is the provider located?

The provider is located at 30804 PACIFIC HWY S FEDERAL WAY, WA 98003 and the phone number is (253) 839-5644.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does PETTIBON CHIROPRACTIC CLINIC OF FEDERAL WAY INC. accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.