Athletico LTD
Organization Active NPI Clinic/Center · Adrian, MI
NPI 1073920161 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1073920161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ATHLETICO LTD
- Practice address
- 1801 W Maumee St
Suite 125
Adrian, MI 49221-1291 - Phone
- (517) 264-6141
- Fax
- (517) 263-5786
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Member of 1
National Provider Directory
Locations
1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | MI | ||
| Occupational Therapist |
225X00000X | MI | ||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1801 W Maumee St
Suite 125
Adrian, MI 49221-1291
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980
Other names
- ATHLETICO PHYSICAL THERAPY
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.