Organization · Type 2 NPI
Athletico Ltd
Clinic/Center · Gladstone, MO
NPI number
1679041396
Active
Practice location
6403 N Prospect Ave # 450
Gladstone, MO 64119-1545
Fax (816) 809-6414
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).
Another provider at this address
About NPI 1679041396
Athletico Ltd's National Provider Identifier is 1679041396, issued on Nov 12, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gladstone, MO. The record was last updated on Nov 12, 2018.