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

Sam L Pettibon, DO

Individual provider Rehabilitation Chiropractor · NPI 1386860492

Sam L Pettibon, DO is a Chiropractic in Federal Way, Washington. Graduated from Life Chiropractic College - West in 1985, 41 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
41
Trained at
Life Chiropractic College - West
Licensed in
WA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

30804 Pacific Hwy S
Federal Way, WA 98003-4902
Phone: (253) 839-5644
Fax: (253) 839-2625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 2174 (WA)

Record details

NPI number1386860492
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESMay 2, 2012
Mailing address30804 Pacific Hwy S, Federal Way, WA 98003-4902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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