Organization Name: | ATHLETICO LTD |
NPI Number: | 1710357728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERI COOK (DIRECTOR OF CLINICAL SERVICES) |
Mailing Address: | 114 N Vine St Urbana |
State: | IL US |
Postal Code: | 618022700 |
Phone Number: | 6305751980 |
Fax Number: | 6309285080 |
NPI Enumeration Date: | 10/02/2015 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |