OrganizationActive
Athletico Ltd
NPI 1356944581 · Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1356944581
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
3726 S Kingshighway Blvd
Saint Louis, MO 63109-1800
Phone: (314) 351-7172
Fax: (314) 351-6885
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.