Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
W MICHAEL PETTY, ATC, LAT
Active Sole ProprietorW MICHAEL PETTY, ATC, LAT is a Athletic Trainer healthcare provider located in HOMER GLEN, Illinois. NPI 1518098490 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HOMER GLEN, IL
Registration Details
- NPI Number
- 1518098490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2007 (19.394373596735 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
14330 S HEATHERWOOD DRHOMER GLEN, IL, 604919144Browse IL providers · Browse ZIP 60491
- Phone
- 7083017567
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HOMER GLEN, IL
| Name | Credential | NPI |
|---|---|---|
| JENNIFER HEDWIG GOODRICH | ATC | 1083775514 |
| AMANDA MACNAB | ATC | 1518498740 |
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.