| Athletico Physical Therapy | |
|
159 Sw Highway 150 Lees Summit MO 64082 | |
| (816) 944-3003 | |
| (816) 334-0001 |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 159 Sw Highway 150, Lees Summit, Missouri |
| 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 2122 York Rd Ste 300 Oak Brook IL 60523-1925 Ph: (630) 575-1980 | Athletico Physical Therapy 159 Sw Highway 150 Lees Summit MO 64082 Ph: (816) 944-3003 |
| NPI Number | 1053986216 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053986216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
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