Athletico Ltd

NPI #1629652599 in Muskego, Wisconsin

Provider Information

NPI Number: 1629652599
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: May 7, 2021
Last Updated: May 7, 2021

Practice Location

Address: S69W15472 JANESVILLE RD
City: Muskego
State: Wisconsin
ZIP Code: 53150-9330
Phone: (262) 682-1800

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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