Athletico Ltd
NPI #1568194579 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1568194579
- Entity Type
- Organization
- Organization Name
- Athletico Ltd
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 28, 2022
- Last Updated
- Jun 28, 2022
Practice Location
- Address
- 1044 SAGAMORE PKWY W UNIT A
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1446
- Phone
- (765) 250-4445
Authorized Official
- Name
- JUANA GRANADOS
- Title
- CREDENTIALING MANAGER
- Phone
- (630) 575-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
| Clinic/Center |
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