Athletico Ltd

NPI #1225792831 in Highland, Illinois

Provider Information

NPI Number: 1225792831
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Oct 29, 2021
Last Updated: Oct 29, 2021

Practice Location

Address: 12551 STATE ROUTE 143 STE F
City: Highland
State: Illinois
ZIP Code: 62249-1192
Phone: (618) 701-9711

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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