Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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W Michael Petty, ATC, LAT

Individual provider Athletic Trainer · NPI 1518098490

W Michael Petty, ATC, LAT is an Athletic Trainer in Homer Glen, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

14330 S Heatherwood Dr
Homer Glen, IL 60491-9144
Phone: (708) 301-7567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1518098490
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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