Athletico Ltd

NPI #1063042794 in Delafield, Wisconsin

Provider Information

NPI Number: 1063042794
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Physical Therapist
Enumeration Date: Jan 22, 2020
Last Updated: Jan 22, 2020

Practice Location

Address: 2990 GOLF RD
City: Delafield
State: Wisconsin
ZIP Code: 53018-2179
Phone: (262) 256-0026

Authorized Official

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

Specialties & Taxonomy Codes

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

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