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

Andrew Nathan Pettibon, LMP

Individual provider Specialist · NPI 1457579385

Andrew Nathan Pettibon, LMP is a Specialist in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

4141 6th Ave Ste 2
Tacoma, WA 98406-4032
Phone: (253) 228-0889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00056514 (WA)

Record details

NPI number1457579385
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

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