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
- City
- Homer Glen
- State
- Illinois
- ZIP Code
- 60491-9144
- Phone
- (708) 301-7567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
Similar Providers
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| Jennifer Hedwig Goodrich, ATC | |
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| MR. James John Allivato JR., LAT, ATC | |
| Jason Mulholland, MS, ATC, CSCS | |
| MR. Michael Anthony Galvan JR., ATC |
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