Individual provider · Type 1 NPI

Andrew Nathan Pettibon, LMP

Specialist · Tacoma, WA

NPI number 1457579385 Active

Practice location

4141 6th Ave, Suite 2
Tacoma, WA 98406-4032

Call (253) 228-0889 Map

Mailing address

PO Box 65248
University Place, WA 98464-1248

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00056514 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1457579385

Andrew Nathan Pettibon, LMP's National Provider Identifier is 1457579385, issued on Apr 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tacoma, WA. The record was last updated on Jul 8, 2007.