OrganizationActive
Athletico, Ltd
NPI 1053986216 · Clinic/Center · Lees Summit, MO
Provider details
- NPI number
- 1053986216
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
159 Sw Highway 150
Lees Summit, MO 64082
Phone: (816) 944-3003
Fax: (816) 334-0001
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.