Athletico Ltd

NPI #1528736659 in Davenport, Iowa

Provider Information

NPI Number: 1528736659
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Sep 2, 2021
Last Updated: Sep 2, 2021

Practice Location

Address: 2178 W KIMBERLY RD STE 10
City: Davenport
State: Iowa
ZIP Code: 52806-5368
Phone: (563) 279-0100

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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