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Dr. Brett John Petrilli, DC
Chiropractor in Renton, Washington
NPI 1114143237

Brett John Petrilli is a Chiropractor based in Renton, WA. Brett John Petrilli practices in Renton, WA and has the professional credentials of DC. The NPI Number for Brett John Petrilli is 1114143237 and holds a License No. CH0002201 (Washington).

The current practice location address for Brett John Petrilli is 11014 Se 192Nd St, Renton, WA and can be reached out via phone at 253-852-8640 and via fax at 253-854-2690.

Location: 11014 Se 192Nd St, Renton, WA, 98055-7432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114143237
Provider Name
Brett John Petrilli
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
11014 Se 192Nd St, Renton, WA, 98055-7432
Phone Number
253-852-8640
Fax Number
253-854-2690
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
911498710 01 WA TAX ID#
PE9824 01 WA REGENCE RIDER #
43666 01 WA DEPT OF L&I
G8912328 01 WA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
11014 Se 192Nd St
City
Renton
State
Washington
Zip
98055-7432
Phone Number
253-852-8640
Fax Number
253-854-2690
person
Provider Business Mailing Address Details
Address
11014 Se 192Nd St
City
Renton
State
Washington
Zip
98055-7432
Phone Number
253-852-8640
Fax Number
253-854-2690
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH0002201 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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