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Organization
ATHLETICO LTD
Active
Organization
ATHLETICO LTD
Active
Other names
Athletico Physical Therapy, Endurance Physical Therapy an Athletico Co
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (DIRECTOR, CREDENTIALING)
(630) 575-1980
Entity
Organization
Contact information
Practice address
2714 W OXFORD LOOP STE 164, OXFORD, MS 38655-5714
(662) 232-8949
(662) 232-8950
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/24/2021
Last updated
08/11/2026
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