Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAYA S GOUGH
Active Sole ProprietorMAYA S GOUGH is a Athletic Trainer healthcare provider located in STAR, Idaho. NPI 1942824545 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STAR, ID
Registration Details
- NPI Number
- 1942824545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2020 (6.2348356291586 yrs)
- Last Updated
- May 31, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
10284 W VIRGINIA CITY STSTAR, ID, 836695619Browse ID providers · Browse ZIP 83669
- Phone
- 2082844922
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STAR, ID
| Name | Credential | NPI |
|---|---|---|
| CAROLE JANE MILSTEAD | — | 1952963563 |
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.