Individual provider · Type 1 NPI

Jon M. Pettibon, DC

Chiropractor · Tacoma, WA

NPI number 1639227366 Active

Practice location

3837 S 12th St
Tacoma, WA 98405-2138

Call (253) 752-3501 Map

Fax (253) 752-3504

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00001455 (WA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1639227366

Jon M. Pettibon, DC's National Provider Identifier is 1639227366, issued on Jan 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tacoma, WA. The record was last updated on Jul 8, 2007.