Athletico Ltd

NPI #1760142939 in Springfield, Ohio

Provider Information

NPI Number: 1760142939
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 1208 N. BECHTLE AVE
City: Springfield
State: Ohio
ZIP Code: 45504
Phone: (937) 471-3988

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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