OrganizationActive
Athletico, Ltd
NPI 1346970183 · Clinic/Center · Tupelo, MS
Provider details
- NPI number
- 1346970183
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
499 Gloster Creek Vlg Ste F5
Tupelo, MS 38801-4631
Phone: (662) 841-0551
Fax: (662) 841-0554
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.