Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY W SOUTHWORTH, LATC MED
Active Sole ProprietorMR. GREGORY W SOUTHWORTH, LATC MED is a Athletic Trainer healthcare provider located in PALMER, Massachusetts. NPI 1396097275 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PALMER, MA
Registration Details
- NPI Number
- 1396097275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2012 (13.828167912153 yrs)
- Last Updated
- Oct 3, 2012
- License
-
115 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 SYKES STPALMER, MA, 010691225Browse MA providers · Browse ZIP 01069
- Phone
- 4132839701
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PALMER, MA
| Name | Credential | NPI |
|---|---|---|
| BRITTANY FORD | LAT, ATC | 1265880405 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.