Athletico Ltd

NPI #1427725860 in Waukee, Iowa

Provider Information

NPI Number: 1427725860
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Aug 24, 2021
Last Updated: Aug 24, 2021

Practice Location

Address: 128 W HICKMAN RD
City: Waukee
State: Iowa
ZIP Code: 50263-5070
Phone: (515) 309-1819

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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