MEDICARE: ATHLETIC RECOVERY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1881441517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATHLETIC RECOVERY SERVICES

Provider Business Mailing Address
First Line	:	1338 DEL PRADO BLVD S STE F
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3714
Country	:	US
Telephone Number	:	239-823-3370
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 DEL PRADO BLVD S STE F
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3714
Country	:	US
Telephone Number	:	239-823-3370
Fax Number	:

Authorized Official
Title or Position	:	LEAD ATHLETIC THERAPIST
Name	:	MR. JOSHUA ECHELSON
Credential	:	LMT
Telephone Number	:	239-823-3370

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	05/01/2024

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Directions to “ATHLETIC RECOVERY SERVICES ” Practice Location

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