W Michael Petty, ATC, LAT

NPI #1518098490 in Homer Glen, Illinois

Provider Information

NPI Number
1518098490
Entity Type
Individual
Name
W Michael Petty, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
14330 S HEATHERWOOD DR
ZIP Code
60491-9144
Phone
(708) 301-7567

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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