Athelite Performance Therapy LLC
Clinic/Center, Rehabilitation in Phoenix, AZ. Organization (NPI-2).
NPI number1336712397
StatusActive
Last updated in NPPESOct 26, 2024
Details
- NPI
- 1336712397
- Entity type
- Organization (NPI-2)
- Legal business name
- Athelite Performance Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Oct 26, 2024
- Last updated
- Oct 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Athelite Performance Therapy (Doing Business As)
Practice location
926 E Jackson St Ste 600Phoenix, AZ 85034-2254
Phone 480-886-2253 · Fax 480-790-4350
Mailing address
926 E Jackson St Ste 600Phoenix, AZ 85034-2254
Phone 480-886-2253 · Fax 480-790-4350
Authorized official
Johnathan Monteiro
Owner
4808862253
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