Gregg Ellis Boughton in Laramie - Athletic Trainer

Gregg Ellis Boughton - NPI 1932171998

Gregg Ellis Boughton is a Athletic Trainer in Laramie, . Gregg Ellis Boughton practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gregg Ellis Boughton is 1932171998. The last update date is 2007-07-08.

Gregg Ellis Boughton's current location address is 1909 Vista Dr, Laramie, . You can contact this provider via phone number 3077458851 and fax number 3077420961. The mailing address for Gregg Ellis Boughton is 1909 Vista Dr, Laramie, . To know further, please read the information below!

Provider Profile Detail

Provider Name Gregg Ellis Boughton
Address 1909 Vista Dr, Laramie,
Phone Number 3077458851
Fax Number 3077420961
Sole Proprietor X
Credentials ATC, CSCS

NPI Number Detail

NPI Number 1932171998
Provider Enumeration Date 2006-02-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1909 Vista Dr
City Laramie
State (WY)
Post Code 820705530
Phone Number 3077458851
Fax Number 3077420961

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Gregg Ellis Boughton

What is the unique 10-digit identification code issued to Gregg Ellis Boughton by the Centers for Medicare & Medicaid Services?

The Gregg Ellis Boughton has been assigned the NPI (National Provider Identifier) 1932171998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Gregg Ellis Boughton is located?

The Gregg Ellis Boughton is situated at the following address: 1909 Vista Dr, Laramie, WY, 820705530.

What is Gregg Ellis Boughton's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregg Ellis Boughton is Athletic Trainer, and the taxonomy code that categorizes this field of expertise is 2255A2300X.

When was the Gregg Ellis Boughton's 1932171998 issued?

The Gregg Ellis Boughton's 1932171998 was issued on 2006-02-03.

When was the information regarding Gregg Ellis Boughton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gregg Ellis Boughton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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