SearchWashington225700000X

Rex Pettibon, LMP

NPI 1558429480 · on the registry since 2006 · sole proprietor

Practice

Address
6615 6th Ave
Tacoma, WA 98406
Phone
(253) 565-2225
Organisation at this address
Sean Flaherty Dc Inc Ps
Milasich Chiropractic Ps Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington