Athletico Ltd

NPI #1376100727 in Addison, Texas

Provider Information

NPI Number: 1376100727
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: May 21, 2019
Last Updated: May 21, 2019

Practice Location

Address: 14380 MARSH LN # 120
City: Addison
State: Texas
ZIP Code: 75001-3879
Phone: (972) 942-2097

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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