OrganizationActive
Athletico Ltd
NPI 1316540792 · Clinic/Center · Wentzville, MO
Provider details
- NPI number
- 1316540792
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
1832 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone: (636) 327-7110
Fax: (636) 327-7135
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Registry dates
- Enumerated
- 2020-11-18
- Last updated
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.