Athletico LTD
Organization Active NPI Clinic/Center · Des Moines, IA
NPI 1124422142 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1124422142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ATHLETICO LTD
- Practice address
- 411 Laurel St
Suite 1300
Des Moines, IA 50314-3017 - Phone
- (515) 231-7710
- Fax
- (515) 244-9914
- NPI assigned
- Oct 20, 2014
- Organization subpart
- No
Authorized official
- Name
- Juana Granados
- Title
- Credentailing Manager
- Phone
- (630) 575-1980
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
411 Laurel St
Suite 1300
Des Moines, IA 50314-3017
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other names
- ATHLETICO PHYSICAL THERAPY
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. 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.