Athletico Ltd

NPI #1205404126 in Martinsville, Indiana

Provider Information

NPI Number: 1205404126
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jun 16, 2021
Last Updated: Jun 16, 2021

Practice Location

Address: 640 BIRK RD
City: Martinsville
State: Indiana
ZIP Code: 46151-6534
Phone: (765) 558-2001

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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