Individual
DR. JEFFREY SCOTT PETETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10622 SE CARR RD, SUITE A, RENTON, WA 98055-5824
(425) 277-2225
(425) 277-1591
Mailing address
10622 SE CARR RD, SUITE A, RENTON, WA 98055-5824
(425) 277-2225
(425) 277-1591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHOOOO2306
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41194
L&I
WA
05
—
8427031
—
WA
01
—
911597946
TAX ID#
WA
Enumeration date
10/24/2006
Last updated
06/09/2008
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