Athletico Ltd
Clinic/Center in Commerce Township, MI. Organization (NPI-2).
NPI number1003563263
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1003563263
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- Mar 8, 2022
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
1749 Haggerty HwyCommerce Township, MI 48390-2857
Phone 248-987-8947 · Fax 248-653-6695
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
Phone 630-575-6200 · Fax 630-575-7450
Authorized official
Juana Granados
Credentialing Manager
6305751980
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