Athletico Ltd

NPI #1194985309 in Champaign, Illinois

Provider Information

NPI Number: 1194985309
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Physical Therapist
Enumeration Date: Jun 11, 2008
Last Updated: May 28, 2010

Practice Location

Address: 2040 S NEIL ST
City: Champaign
State: Illinois
ZIP Code: 61820-7220
Phone: (217) 352-3330

Authorized Official

Name: GERI COOK
Title: DIRECTOR OF CLINICAL SERVICES
Phone: (630) 575-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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