MR. Gregory W Southworth, LATC MED
NPI #1396097275 in Palmer, Massachusetts
Provider Information
- NPI Number
- 1396097275
- Entity Type
- Individual
- Name
- MR. Gregory W Southworth, LATC MED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LATC MED
- Enumeration Date
- Oct 3, 2012
- Last Updated
- Oct 3, 2012
Practice Location
- Address
- 240 SYKES ST
- City
- Palmer
- State
- Massachusetts
- ZIP Code
- 01069-1225
- Phone
- (413) 283-9701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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