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DR. JON M PETTIBON D.C.
NPI 1639227366
Chiropractor in Tacoma, WA

Active since January 08, 2007
3837 S 12TH ST, TACOMA, WA 98405(253) 752-3501(253) 752-3504 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jon M Pettibon D.c. NPPES

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

DR. JON M PETTIBON D.C. (NPI 1639227366) is an individual chiropractor in Tacoma, Washington, licensed in Washington (CH00001455) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639227366
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JON M PETTIBONCredential: D.C.
Location Address3837 S 12TH STTacoma, WA 98405-2138
Mailing Address3837 S 12th StTacoma, WA 98405-2138 · (253) 752-3501 · Fax (253) 752-3504
Phone(253) 752-3501
Fax(253) 752-3504
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639227366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00001455
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.
3837 S 12TH ST, Tacoma, WA 98405
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Other Identifiers 1

Medicare UPINT02774WA

Other Providers at the Same Location NPPES 20

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

ERIN MARIE SCOTT
Behavior Technician
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (253) 393-2338
RACHEL CHRISTINE BANACH
Assistant Behavior Analyst
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (253) 289-9500
CARPE DIEM ACADEMY CORPORATION
Occupational Therapist (Pediatrics)
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (833) 971-1230
ANGELICA MARIE PANCHO DE LA ROSA
Behavior Technician
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (833) 971-1230
LAUREN ELIZABETH GEUE CBT
Behavior Technician
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (833) 971-1230
CARPE DIEM TACOMA CORPORATION
Behavior Analyst
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (833) 971-1230
NOVA MCKIBBIN
Behavior Technician
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (833) 971-1230
IAN ROBERT HAMILTON
Behavior Technician
3837 S 12TH ST
TACOMA, WA 98405
Pierce County (253) 235-0156

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 Jon Pettibon's NPI number?

The NPI number for Jon Pettibon is 1639227366. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jon Pettibon located?

Jon Pettibon practices at 3837 S 12th St, Tacoma, WA 98405. The listed phone number is (253) 752-3501.

What is Jon Pettibon's specialty?

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

When was this NPI record last updated?

The NPPES record for Jon Pettibon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.