# ATI HOLDING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATI HOLDING LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467090399
- **Legal business name:** ATI HOLDING LLC
- **Authorized official:** MATT KIRK (DIRECTOR)
- **Authorized official phone:** (708) 710-9931

## Contact information

- **Practice address:** 2327-D FOREST DR, ANNAPOLIS, MD 21401-3865
- **Practice address phone:** (443) 782-7243
- **Practice address fax:** (410) 881-6514
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019