Individual
KYLE PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
211 HORTON FIELD HOUSE, NORMAL, IL 61790-7130
(309) 438-3340
Mailing address
211 HORTON FIELD HOUSE, NORMAL, IL 61790-7130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096..003805
IL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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