Mr. Gregory W Southworth, LATC MED
Specialist/Technologist, Athletic Trainer in Palmer, Massachusetts
1396097275- Practice location
- 240 Sykes St, Palmer, MA 01069-1225
- Phone
- 413-283-9701
- Fax
- —
- Last updated
- October 3, 2012
Gregory W Southworth is a Specialist/Technologist, Athletic Trainer based in Palmer, MA. Gregory W Southworth practices in Palmer, MA and has the professional credentials of LATC MED. The NPI Number for Gregory W Southworth is 1396097275 and holds a License No. 115 (MA). The current practice location address for Gregory W Southworth is 240 Sykes St, Palmer, MA 01069-1225 and can be reached out via phone at 413-283-9701.
Provider Profile Details
- NPI Number
- 1396097275
- Provider Name
- Gregory W Southworth
- Credential
- LATC MED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 240 Sykes St, Palmer, MA 01069-1225
- Phone Number
- 413-283-9701
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2012
- Last Update Date
- October 3, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 240 Sykes St
Palmer, MA 01069-1225 - City
- Palmer
- State
- Massachusetts
- Zip
- 01069-1225
- Phone Number
- 413-283-9701
Provider Business Mailing Address Details
- Address
- 240 Sykes St
Palmer, MA 01069-1225 - City
- Palmer
- State
- MA
- Zip
- 01069-1225
- Phone Number
- 413-283-9701
License Information
- License Number
- 115
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Gregory W Southworth, LATC MED?
The NPI number of Mr. Gregory W Southworth, LATC MED is 1396097275. It was assigned on October 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Gregory W Southworth, LATC MED?
Mr. Gregory W Southworth, LATC MED is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 115.
Where does Mr. Gregory W Southworth, LATC MED practice?
The practice location is 240 Sykes St, Palmer, MA 01069-1225. The office can be reached at 413-283-9701 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396097275 directly on the NPPES registry website.