Athletico Ltd

NPI #1154064327 in Carlisle, Iowa

Provider Information

NPI Number: 1154064327
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Apr 15, 2022
Last Updated: Apr 15, 2022

Practice Location

Address: 840 SCHOOL ST
City: Carlisle
State: Iowa
ZIP Code: 50047-9780
Phone: (515) 505-3205

Authorized Official

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

Specialties & Taxonomy Codes

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

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