Athletico Ltd

NPI #1528658713 in Seymour, Indiana

Provider Information

NPI Number: 1528658713
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 1940 E TIPTON ST STE C
City: Seymour
State: Indiana
ZIP Code: 47274-3566
Phone: (812) 271-0042

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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