Athletico Ltd

NPI #1639837123 in Waco, Texas

Provider Information

NPI Number: 1639837123
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Dec 2, 2021
Last Updated: Dec 6, 2021

Practice Location

Address: 1701 HEWITT DR
City: Waco
State: Texas
ZIP Code: 76712-8660
Phone: (254) 294-5950

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING MANAGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X
Clinic/Center	261Q00000X	Primary

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