Athletico, Ltd
Clinic/Center in Lexington, KY. Organization (NPI-2).
NPI number1588339402
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1588339402
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico, Ltd
- Organization subpart
- No
- Enumeration date
- Aug 12, 2021
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
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
630 Euclid Ave Ste 140Lexington, KY 40502-1997
Phone 859-303-9980 · Fax 859-303-9830
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
Phone 630-575-1980 · Fax 630-928-5080
Authorized official
Tasheda Broughton
Manager, Credentialing
2522483313
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