Provider Demographics
NPI:1881441517
Name:ATHLETIC RECOVERY SERVICES
Entity type:Organization
Organization Name:ATHLETIC RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ATHLETIC THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:239-823-3370
Mailing Address - Street 1:1338 DEL PRADO BLVD S STE F
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3714
Mailing Address - Country:US
Mailing Address - Phone:239-823-3370
Mailing Address - Fax:
Practice Address - Street 1:1338 DEL PRADO BLVD S STE F
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3714
Practice Address - Country:US
Practice Address - Phone:239-823-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty