# EASTERN IOWA THERAPEUTICS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Athletico Ltd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750766952
- **Authorized official:** JUANA FERNANDEZ (CREDENTIALING MANAGER)
- **Authorized official phone:** (630) 575-1980

## Contact information

- **Practice address:** 5300 FOUNTAINS DR NE, SUITE 106, CEDAR RAPIDS, IA 52411-6607
- **Practice address phone:** (319) 378-6958
- **Practice address fax:** (319) 378-6938
- **Mailing address:** 5300 FOUNTAINS DR NE, SUITE 106, CEDAR RAPIDS, IA 52411-6607
- **Mailing address phone:** (319) 378-6958
- **Mailing address fax:** (319) 378-6938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015