Organization · Type 2 NPI

Athletico Ltd

Clinic/Center · Ann Arbor, MI

NPI number 1104382464 Active

Practice location

4860 Washtenaw Ave
Ann Arbor, MI 48108-3401

Call (734) 489-7995 Map

Fax (734) 800-2155

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Occupational Therapist	225X00000X	None listed
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

Other clinic/center providers in Ann Arbor

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NPI record

NPI: 1104382464
Entity type: Organization (Type 2)
Issued: Feb 12, 2019
Last updated: Mar 9, 2020
Status: Active

Other names

<unavail>
Athletico Physical Therapy · doing business as
Athletico Physical Therapy · doing business as

Authorized official

Juana Granados
Credentialing Manager
(630) 575-1980

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104382464

Athletico Ltd's National Provider Identifier is 1104382464, issued on Feb 12, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Mar 9, 2020.