Graduated: 1998
NPI: 1710930961
Practice Locations (3)
ATHLETICO LTD
3701 80TH ST
KENOSHA, WI 531424950
2626971730
ATHLETICO LTD
5708 B 75TH ST
KENOSHA, WI 531423635
2626979135
ATHLETICO LTD
6926 39TH AVE
KENOSHA, WI 531427128
2629420163
Source: CMS National Downloadable File, September 2026.