Organization · Type 2 NPI

Athletico Ltd

Clinic/Center · Grand Rapids, MI

NPI number 1972166718 Active

Practice location

5161 Northland Dr NE
Grand Rapids, MI 49525-1015

Call (616) 818-0586 Map

Fax (616) 818-0587

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

Courtney Vandriel, RN, IBCLCLactation Consultant (Registered Nurse) Grand Rapids, MI NPI 1861903072

Other clinic/center providers in Grand Rapids

See all in Grand Rapids →

NPI record

NPI: 1972166718
Entity type: Organization (Type 2)
Issued: Apr 17, 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 1972166718

Athletico Ltd's National Provider Identifier is 1972166718, issued on Apr 17, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 9, 2020.