MR. Gregg Ellis Boughton, ATC, CSCS

NPI #1932171998 in Laramie, Wyoming

Provider Information

NPI Number
1932171998
Entity Type
Individual
Name
MR. Gregg Ellis Boughton, ATC, CSCS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, CSCS
Enumeration Date
Feb 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1909 VISTA DR
State
Wyoming
ZIP Code
82070-5530
Phone
(307) 745-8851

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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