Athletico Ltd

NPI #1487389284 in Hartford, Wisconsin

Provider Information

NPI Number: 1487389284
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jul 18, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 1504 E SUMNER ST
City: Hartford
State: Wisconsin
ZIP Code: 53027-2607
Phone: (262) 709-8466

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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