Athletico Ltd

NPI #1962897728 in Ankeny, Iowa

Provider Information

NPI Number: 1962897728
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Mar 30, 2015
Last Updated: May 14, 2019

Practice Location

Address: 1510 SW ORALABOR RD
Address 2: STE F
City: Ankeny
State: Iowa
ZIP Code: 50023-7147
Phone: (515) 963-5550

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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