Organization · Type 2 NPI

Athletico Ltd

Clinic/Center · Novi, MI

NPI number 1174970404 Active

Practice location

43443 Grand River Ave, Suite 200
Novi, MI 48375-1106

Call (248) 305-9200 Map

Fax (248) 305-9330

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813

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).

Another provider at this address

Laura Kaznecki Tustin, DPTPhysical Therapist Novi, MI NPI 1588809354

Other clinic/center providers in Novi

See all in Novi →

NPI record

NPI: 1174970404
Entity type: Organization (Type 2)
Issued: May 17, 2016
Last updated: Feb 11, 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 1174970404

Athletico Ltd's National Provider Identifier is 1174970404, issued on May 17, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Novi, MI. The record was last updated on Feb 11, 2020.