Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pettibon Chiropractic Clinic of Federal Way Inc

Organization Chiropractor · NPI 1134487846

Pettibon Chiropractic Clinic of Federal Way Inc provides Chiropractor services 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 Not confirmed with CMS for 14 years — call before visiting
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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