Athletico Ltd
Clinic/Center in Ankeny, IA. Organization (NPI-2).
NPI number1962897728
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1962897728
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- Mar 30, 2015
- Last updated
- May 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225100000X | Physical Therapist | – | IA | |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
1510 Sw Oralabor RdSte F
Ankeny, IA 50023-7147
Phone 515-963-5550 · Fax 515-963-5551
Mailing address
600 Oakmont Ln Ste 600cWestmont, IL 60559-5548
Phone 630-575-1980 · Fax 630-928-5080
Authorized official
Juana Granados
Credentialing Manager
6305751980
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All 6 Clinic/Center providers in Ankeny · All 1,631 providers in Ankeny
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