Athletico Ltd

NPI #1659024875 in Bellmead, Texas

Provider Information

NPI Number: 1659024875
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jan 28, 2022
Last Updated: Jan 28, 2022

Practice Location

Address: 903 N INTERSTATE 35 STE 116
City: Bellmead
State: Texas
ZIP Code: 76705-2893
Phone: (254) 294-5944

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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