Athletico, Ltd

NPI #1871223610 in Pontotoc, Mississippi

Provider Information

NPI Number: 1871223610
Entity Type: Organization
Organization Name: Athletico, Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 111 HIGHWAY 15 S
City: Pontotoc
State: Mississippi
ZIP Code: 38863-2628
Phone: (662) 586-2444

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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