Athletico Ltd

NPI #1639938665 in Rochester Hills, Michigan

Provider Information

NPI Number: 1639938665
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Mar 13, 2024
Last Updated: Mar 13, 2024

Practice Location

Address: 957 S ROCHESTER RD
City: Rochester Hills
State: Michigan
ZIP Code: 48307
Phone: (248) 963-0502

Authorized Official

Name: TASHEDA BROUGHTON
Title: CREDENTIALING MANAGER
Phone: (252) 248-3313

Specialties & Taxonomy Codes

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

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