Mr. GREGG ELLIS BOUGHTON -- ATC, CSCS
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1932171998- Provider Type
- Individual Provider (NPI-1)
- Credentials
- ATC, CSCS
- Status
- Active
Contact & Location
- Address
- 1909 VISTA DR, LARAMIE, WY, 820705530
- Phone
- (307) 745-8851
- Fax
- (307) 742-0961
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
Primary