Athletico Ltd

NPI #1932672227 in Marana, Arizona

Provider Information

NPI Number: 1932672227
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jan 9, 2019
Last Updated: Jan 9, 2019

Practice Location

Address: 13395 N MARANA MAIN ST
City: Marana
State: Arizona
ZIP Code: 85653-7008
Phone: (520) 682-9645

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING MANAGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Clinic/Center	261Q00000X	Primary

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