Organization · NPI-2

Athletico Ltd

Clinic/Center · Frisco, TX

NPI number1174107528

StatusActive

Last updated in NPPESMay 11, 2021

Details

NPI: 1174107528
Entity type: Organization (NPI-2)
Legal business name: Athletico Ltd
Organization subpart: No
Enumeration date: May 11, 2021
Certification date: Apr 15, 2021
Last updated: May 11, 2021

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

2552 Eldorado Parkway
Frisco, TX 75033

Phone 469-305-4147 · Fax 469-214-9481

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Phone 630-575-6200 · Fax 630-575-7450

Authorized official

Juana Granados
Credentialing Manager
6305751980

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