Athletico LTD
Clinic/Center · Waco, TX
Practice location
1011 S 10TH St Ste 130Waco, TX 76706-1384
- Phone
- (254) 294-5924
- Fax
- (254) 327-2014
NPI record
- NPI
- 1386301083
- Entity type
- Organization (Type 2)
- Enumeration date
- November 17, 2021
- Last updated
- November 17, 2021
- Certified
- November 17, 2021
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X |
— | — |
| Physical Therapist | 225100000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
- Phone
- (630) 575-6250
- Fax
- (630) 575-7450
Authorized official
- Name
- Juana Granados
- Title
- Credentialing Manager
- Phone
- (630) 575-1980
Other names
- Athletico Physical Therapy
About Athletico LTD
Athletico LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 1011 S 10TH St Ste 130, Waco, TX 76706-1384. The NPI number 1386301083 was assigned on November 17, 2021 and the record was last updated on November 17, 2021.
The authorized official for this organization is Juana Granados, Credentialing Manager.
Frequently asked questions
What is the NPI number of Athletico LTD?
The NPI number is 1386301083.
What is the phone number of Athletico LTD?
The phone number listed for the practice location is (254) 294-5924.
Where is Athletico LTD located?
1011 S 10TH St Ste 130, Waco, TX 76706-1384.
What is the taxonomy code for Athletico LTD?
The primary taxonomy code is 261Q00000X – Clinic/Center; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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