# PETETT CHIROPRACTIC CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568640324
- **Authorized official:** DR. JEFFREY SCOTT PETETT D.C. (OWNER)
- **Authorized official phone:** (425) 277-2225

## Contact information

- **Practice address:** 10622 SE CARR RD, SUITE A, RENTON, WA 98055-5406
- **Practice address phone:** (425) 277-2225
- **Practice address fax:** (425) 277-1591
- **Mailing address:** 10622 SE CARR RD, SUITE A, RENTON, WA 98055-5406
- **Mailing address phone:** (425) 277-2225
- **Mailing address fax:** (425) 277-1591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 601459645 | WA | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 06/10/2008