Athletico Ltd

NPI #1972039303 in Chesterfield, Michigan

Provider Information

NPI Number: 1972039303
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: May 4, 2017
Last Updated: Mar 9, 2020

Practice Location

Address: 50912 GRATIOT AVE
City: Chesterfield
State: Michigan
ZIP Code: 48051-3134
Phone: (586) 200-6603

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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