OrganizationActive
Athletico Ltd
NPI 1376201160 · Clinic/Center · Appleton, WI
Provider details
- NPI number
- 1376201160
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
W3216 County Road Kk Ste 105
Appleton, WI 54915-9432
Phone: (920) 460-9390
Fax: (920) 404-2021
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.