Athletico Ltd

NPI #1780067884 in Brooklyn, Michigan

Provider Information

NPI Number: 1780067884
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jul 7, 2015
Last Updated: Mar 9, 2020

Practice Location

Address: 250 S MAIN ST
Address 2: STE #4
City: Brooklyn
State: Michigan
ZIP Code: 49230-9114
Phone: (517) 592-8695

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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