<Unavail>

LBN: Athletico Ltd
<Unavail> is an health care organization with primary practice located at 6333 Kalamazoo Ave Se Ste 600, Grand Rapids MI 49508-7890. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Athletico Ltd can be contacted via phone (616) 649-1577, or through Granados, Juana via phone (630) 575-1980.

Contact Information

Primary practice address
6333 Kalamazoo Ave Se Ste 600 Grand Rapids MI 49508-7890
Phone: (616) 649-1577
Fax: (616) 710-3019
Website:
Map and Directions
Authorized official contact:
Name: Granados, Juana
Phone: (630) 575-1980

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1477087617
LBN Legal business name Athletico Ltd
DBA Doing business as <Unavail>
Authorized official Granados, Juana
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2017
Last updated Mar 9th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers