Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM L PETTIBON, D.O.
ActiveSAM L PETTIBON, D.O. is a Rehabilitation (Chiropractor) healthcare provider located in FEDERAL WAY, Washington. NPI 1386860492 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation (Chiropractor) · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1386860492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2007 (19.290829347379 yrs)
- Last Updated
- May 2, 2012
- License
-
2174 (WA)
Practice Information
- Address
-
30804 PACIFIC HWY SFEDERAL WAY, WA, 980034902Browse WA providers · Browse ZIP 98003
- Phone
- 2538395644
- Fax
- 2538392625
- Primary Specialty
-
Rehabilitation (Chiropractor)
111NR0400X
Other Rehabilitation (Chiropractor) Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JAY MICHAEL BAKER | D.C. | 1720141161 |
| JAMES D MOSS | D.C. | 1487867842 |
| ANTHONY AAMODT | — | 1669850798 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.