Athletico Ltd

NPI #1922732957 in White Lake, Michigan

Provider Information

NPI Number: 1922732957
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jul 14, 2022
Last Updated: Jul 14, 2022

Practice Location

Address: 5951 HIGHLAND RD STE J
City: White Lake
State: Michigan
ZIP Code: 48383-4308
Phone: (947) 777-0961

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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