Athletico Ltd

NPI #1013733286 in Louisville, Kentucky

Provider Information

NPI Number: 1013733286
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Dec 3, 2024
Last Updated: Dec 3, 2024

Practice Location

Address: 6511 BARDSTOWN RD
City: Louisville
State: Kentucky
ZIP Code: 40291-3042
Phone: (502) 795-1770

Authorized Official

Name: TASHEDA BROUGHTON, PESC
Title: MANAGER, CREDENTIALING
Phone: (252) 248-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center	261Q00000X	Primary

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