Athletico Ltd

NPI #1598417735 in Waco, Texas

Provider Information

NPI Number: 1598417735
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 1428 WOODED ACRES DR STE 132
City: Waco
State: Texas
ZIP Code: 76710-4466
Phone: (254) 262-3322

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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