Organization · NPI-2

Athletico Excel Nebraska, LLC

Clinic/Center · Fremont, NE

NPI number1548760077
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1548760077
Entity type
Organization (NPI-2)
Legal business name
Athletico Excel Nebraska, LLC
Organization subpart
No
Enumeration date
Feb 21, 2018
Last updated
Feb 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––

Other names

  • Excel Physical Therapy (Doing Business As)

Practice location

3301 E Elkhorn Dr Ste 200
Fremont, NE 68025-6240

Phone 402-721-0235 · Fax 402-721-6167

Mailing address

600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548

Phone 630-575-1980

Authorized official

Juana Granados
Credentialing Manager
6305751980

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