Misty Susanne Petro, PTA,ATC,CSCS is a specialist in Bloomington, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Misty Susanne Petro, PTA,ATC,CSCS NPI is 1013174051. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1355 W BLOOMFIELD RD STE B
BLOOMINGTON, IN
ZIP 47403-052
Phone: (812) 336-7910
The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.