NPI 1093807281 · live from the CMS NPI Registry
Mary Jo Petras, MA CCCA FAAA
Audiologist-Hearing Aid Fitter in Cody, WY. National Provider Identifier 1093807281, active.
NPI record
| NPI | 1093807281 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 721 Sheridan Ave, Suite 150 Big Horn Basin Hearing INC, Cody, WY 82414 |
| Practice phone | 307-527-6475 |
| Mailing address | 26 Talon Drive, Cody, WY 82414 |
| Enumerated | September 28, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | Audiology A966 (WY) |
| Audiologist-Hearing Aid Fitter primary | 237600000X | Audiologist Hearing (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.