Graduated: 1998
NPI: 1578931952
Practice Locations (2)
ATHLETICO LTD
6911 TOMAHAWK RD
PRAIRIE VILLAGE, KS 662082618
9138716291
ATHLETICO LTD
229 S STEWART RD, SUITE E 3
LIBERTY, MO 640684206
8166563695
Source: CMS National Downloadable File, September 2026.