MISTY SUSANNE PETRO PTA,ATC,CSCS
NPI 1013174051
Specialist in Bloomington, IN

Q: What is Misty Petro's NPI number?

The NPI number for Misty Petro is 1013174051. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Misty Petro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Petro was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2008

1355 W BLOOMFIELD RD STE B, BLOOMINGTON, IN 47403(812) 336-7910 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Misty Susanne Petro Pta,atc,cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTY SUSANNE PETRO PTA,ATC,CSCS (NPI 1013174051) is an individual specialist in Bloomington, Indiana, licensed in Indiana (99032299A) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1013174051

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMISTY SUSANNE PETROCredential: PTA,ATC,CSCS

Location Address1355 W BLOOMFIELD RD STE BBloomington, IN 47403-2052

Mailing Address1355 W Bloomfield Rd Ste BBloomington, IN 47403-2052 · (812) 336-7910

Phone(812) 336-7910

Sole ProprietorNo

Enumeration DateMay 19, 2008

✔ NPI 1013174051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IN · 99032299A

Definition

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.

1355 W BLOOMFIELD RD STE B, Bloomington, IN 47403

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center (Physical Therapy)

1355 W BLOOMFIELD RD STE B
BLOOMINGTON, IN 47403

Monroe County (812) 336-7910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Petro's NPI number?

The NPI number for Misty Petro is 1013174051. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Misty Petro located?

Misty Petro practices at 1355 W Bloomfield Rd Ste B, Bloomington, IN 47403. The listed phone number is (812) 336-7910.

What is Misty Petro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Misty Petro was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.