| Athletico Physical Therapy | |
|
11207 Shawnee Mission Pkwy Shawnee KS 66203-3333 | |
| (913) 275-5751 | |
| (913) 320-2217 |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 11207 Shawnee Mission Pkwy, Shawnee, Kansas |
| 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 600 Oakmont Ln Ste 600c Westmont IL 60559-5548 Ph: (630) 575-1980 | Athletico Physical Therapy 11207 Shawnee Mission Pkwy Shawnee KS 66203-3333 Ph: (913) 275-5751 |
| NPI Number | 1215572177 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215572177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 225100000X | Physical Therapist | () | Secondary |
| 225X00000X | Occupational Therapist | () | Secondary |
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