Athletico Ltd
Clinic/Center in Irving, TX. Organization (NPI-2).
NPI number1043783335
StatusActive
Last updated in NPPESJan 9, 2019
Details
- NPI
- 1043783335
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- Jan 9, 2019
- Last updated
- Jan 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
125 N Macarthur BlvdIrving, TX 75061-7413
Phone 972-887-3318 · Fax 972-887-3527
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-1980 · Fax 630-928-5080
Authorized official
Juana Granados
Credentialing Amanger
6305751980
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