Graduated: 1992
NPI: 1134171036
Practice Locations (3)
ATHLETICO LTD
229 S STEWART RD, SUITE E 3
LIBERTY, MO 640684206
8166563695
ATHLETICO LTD
2053 ZUMBEHL RD
SAINT CHARLES, MO 633032723
6369402900
ATHLETICO LTD
1832 WENTZVILLE PKWY
WENTZVILLE, MO 633853817
6363277110
Source: CMS National Downloadable File, September 2026.