Search › Illinois › 2255A2300X
W Petty, ATC, LAT
NPI 1518098490 · on the registry since 2007 · sole proprietor
Practice
- Address
- 14330 S Heatherwood Dr
Homer Glen, IL 60491 - Phone
- (708) 301-7567
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois