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JON M PETTIBON DC INC PS
NPI 1659644672
Chiropractor in Tacoma, WA

Active since February 22, 2012
3837 S 12TH ST, TACOMA, WA 98405(253) 752-3501(253) 752-3504 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon M Pettibon Dc Inc Ps NPPES

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

JON M PETTIBON DC INC PS (NPI 1659644672) is a healthcare organization registered as a chiropractor in Tacoma, Washington and active in the NPI registry since February 2012. The organization lists Jon M Pettibon, Owner, as its authorized official.

NPPES Registry Identity

NPI1659644672
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJON M PETTIBON DC INC PS
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
Organization SubpartNo
Authorized OfficialJon M PettibonOwner · (253) 752-3501
Enumeration DateFebruary 22, 2012
✔ NPI 1659644672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · 1455
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 PING001000913WA

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

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 M Pettibon Dc Inc Ps's NPI number?

The NPI number for Jon M Pettibon Dc Inc Ps is 1659644672. It was assigned to this organization in the NPPES registry on February 22, 2012.

Where is Jon M Pettibon Dc Inc Ps located?

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

What is Jon M Pettibon Dc Inc Ps'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 M Pettibon Dc Inc Ps was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.