Organization · Type 2 NPI
Athletico Ltd
Clinic/Center · Fort Wayne, IN
NPI number
1154081040
Active
Practice location
4826 Illinois Rd
Fort Wayne, IN 46804-1166
Fax (260) 247-7112
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
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).
2 other providers at this address
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About NPI 1154081040
Athletico Ltd's National Provider Identifier is 1154081040, issued on Dec 20, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 20, 2021.