Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY SUSANNE PETRO, PTA,ATC,CSCS
ActiveMISTY SUSANNE PETRO, PTA,ATC,CSCS is a Specialist healthcare provider located in BLOOMINGTON, Indiana. NPI 1013174051 is currently active in the NPPES registry. Verify at CMS.
Specialist · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1013174051
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2008 (18.278325284813 yrs)
- Last Updated
- May 19, 2008
- License
-
99032299A (IN)
Practice Information
- Address
-
1355 W BLOOMFIELD RD STE BBLOOMINGTON, IN, 474032052Browse IN providers · Browse ZIP 47403
- Phone
- 8123367910
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| MR. TIM C GARL | LATC | 1730174194 |
| DR. JONATHAN W SURDAM | M.D. | 1124009287 |
| MARSHALL M. POOR | M.D. | 1164405643 |
| SOUHEIL F. HADDAD | M.D. | 1659355931 |
| LISA MARIE WEILER | MD | 1427033778 |
| DR. BRIAN HAROLD MOORE | M.D. | 1871554527 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.