Organization · Type 2 NPI
Athletico Ltd
Clinic/Center · St. John, IN
NPI number
1306493507
Active
Practice location
10081 Wicker Ave #4
St. John, IN 46373
Fax (219) 351-1803
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).
About NPI 1306493507
Athletico Ltd's National Provider Identifier is 1306493507, issued on Aug 22, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. John, IN. The record was last updated on Aug 28, 2019.