# ATHENA OSTEOPATHY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174045223
- **Authorized official:** AJ ECKERT DO (OWNER)
- **Authorized official phone:** (860) 533-0179

## Contact information

- **Practice address:** 315 E CENTER ST, MANCHESTER, CT 06040-5251
- **Practice address phone:** (860) 533-0179
- **Practice address fax:** (866) 603-4163
- **Mailing address:** 315 E CENTER ST, MANCHESTER, CT 06040-5251
- **Mailing address phone:** (860) 533-0179
- **Mailing address fax:** (866) 603-4163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 55916 | CT | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/21/2022