Athletico Ltd
Clinic/Center in Blue Springs, MO(View on Map)
Legal Business Name
Athletico Ltd
NPI Number
1437748761
NPI Type
Organization
Enumeration Date
01/12/2021
Specialties
(Taxonomies)Code
261Q00000X
225X00000X
225100000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
600 OAKMONT LN STE 600C
210 N 7 HWY
City
Westmont
Blue Springs
State
IL
MO
Postal Code
60559-5548
64014-2727
Country
US
US
Telephone Number
(630) 575-1980
(816) 655-2460
Authorized Official
Name
Juana Granados
Title or Position
CREDENTIALING MANAGER
Telephone Number
(630) 575-1980
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/12/2021
Provider Address
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