Sam L Pettibon
D.O. | Rehabilitation Chiropractor | 40+ years Exp
Medicare Enrolled
30804 Pacific Hwy S, Federal Way
Washington, 98003-4902
253-839-5644 253-839-2625
Maps & Directions is a Federal Way, Washington based chiropractor with
40 years of experience in
Rehabilitation Chiropractic. He completed his graduation from
Life Chiropractic College - West in 1985. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Sam L Pettibon as Rehabilitation Chiropractic is
2174 in Washington.
Sam L Pettibon is focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Complete Profile:
Sam L Pettibon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Rehabilitation Chiropractic |
| Credentials: | D.O. |
| Experience: | 40+ years |
| Medical School Attended: | Life Chiropractic College - West |
| Graduation Year: | 1985 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 30804 Pacific Hwy S, Federal Way,
Washington, 98003-4902 |
| Phone: | 253-839-5644 |
| Fax: | 253-839-2625 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3678721099 |
| Enrollment ID: | I20120910000606 |
| NPI Number: | 1386860492 |
| NPI Enumeration Date: | 17 Apr, 2007 |
| NPI Last Update On: | 02 May, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sam L Pettibon are as mentioned below.
| License Number | Specialization | State | Status | |
| 2174 | Rehabilitation Chiropractor | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Sam L Pettibon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PE5678 | Other | Washington | REGENCE INSURANCE PROVIDE |
| 2007078 | Medicaid | Washington | |
| 73321 | Other | Washington | L & I PROVIDER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 30804 Pacific Hwy S,
Federal Way, Washington |
| Zip: | 98003-4902 |
| Phone Number: | 253-839-5644 |
| Fax Number: | 253-839-2625 |
Patients can reach Sam L Pettibon at
30804 Pacific Hwy S, Federal Way, Washington or can
call to book an appointment on 253-839-5644.
Comments/ Reviews:
Patients can read all the reviews posted for Sam L Pettibon below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Sam L Pettibon. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.