Individual
DR. LATOYA MICHELLE PETEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11925 E 65TH ST, 10, INDIANAPOLIS, IN 46236-3178
(317) 871-4902
(317) 663-4775
Mailing address
11925 E 65TH ST, 10, INDIANAPOLIS, IN 46236-3178
(317) 871-4902
(317) 663-4775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635450
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/28/2006
Last updated
07/08/2011
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