| Athletico Physical Therapy | |
|
1801 W Maumee St Suite 125 Adrian MI 49221-1291 | |
| (517) 264-6141 | |
| (517) 263-5786 |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 1801 W Maumee St, Adrian, Michigan |
| Authorized Official Name and Position | Juana Granados (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6305751980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athletico Physical Therapy 625 Enterprise Dr Oak Brook IL 60523-8813 Ph: (630) 575-1980 | Athletico Physical Therapy 1801 W Maumee St Suite 125 Adrian MI 49221-1291 Ph: (517) 264-6141 |
| NPI Number | 1073920161 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073920161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 225100000X | Physical Therapist | (Michigan) | Secondary |
| 225X00000X | Occupational Therapist | (Michigan) | Secondary |
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