Provider Demographics
NPI:1730433848
Name:GETBEHEAD, JON (DC)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:
Last Name:GETBEHEAD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10614 CANYON RD E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4257
Mailing Address - Country:US
Mailing Address - Phone:253-535-6006
Mailing Address - Fax:253-535-6226
Practice Address - Street 1:10614 CANYON RD E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-4257
Practice Address - Country:US
Practice Address - Phone:253-535-6006
Practice Address - Fax:253-535-6226
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60315004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor