Provider Demographics
NPI:1710772132
Name:TEEKO, LLC
Entity type:Organization
Organization Name:TEEKO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:EMERSON
Authorized Official - Last Name:MELELCKER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:630-687-0574
Mailing Address - Street 1:20973 CORKSCREW SHORES BLVD
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-9146
Mailing Address - Country:US
Mailing Address - Phone:630-687-0574
Mailing Address - Fax:239-320-3231
Practice Address - Street 1:20973 CORKSCREW SHORES BLVD
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9146
Practice Address - Country:US
Practice Address - Phone:630-687-0574
Practice Address - Fax:239-320-3231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy