Athletico Ltd

NPI #1043783335 in Irving, Texas

Provider Information

NPI Number: 1043783335
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jan 9, 2019
Last Updated: Jan 9, 2019

Practice Location

Address: 125 N MACARTHUR BLVD
City: Irving
State: Texas
ZIP Code: 75061-7413
Phone: (972) 887-3318

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING AMANGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

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

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