IndividualActive
Gregg Boughton, ATC, CSCS
NPI 1932171998 · Athletic Trainer · Laramie, WY
Provider details
- NPI number
- 1932171998
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, CSCS
- Sex
- Male
Practice location
1909 Vista Dr
Laramie, WY 82070-5530
Phone: (307) 745-8851
Fax: (307) 742-0961
Mailing address
5217 View Point Ct
Cheyenne, WY 82009-5679
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.