Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pettibon Chiropractic Clinic of Federal Way Inc

Organization Chiropractor · NPI 1134487846

Pettibon Chiropractic Clinic of Federal Way Inc is a Chiropractor in Federal Way, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30804 Pacific Hwy S
Federal Way, WA 98003-4902
Phone: (253) 839-5644
Fax: (253) 839-2625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 199010175600BL (WA)

Record details

NPI number1134487846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Pettibon — Owner · (253) 839-5644
NPI enumeratedMay 1, 2012
Last updated in NPPESSeptember 4, 2012
Mailing address30804 Pacific Hwy S, Federal Way, WA 98003-4902

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