Lyndsey Gough, ATC
Specialist/Technologist, Athletic Trainer in Chandler, AZ. Individual provider (NPI-1).
NPI number1316601354
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1316601354
- Entity type
- Individual (NPI-1)
- Name
- Lyndsey Gough
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | ATR-009359 | AZ | Yes |
Practice location
2626 E Pecos RdChandler, AZ 85225-2413
Phone 480-732-7000
Mailing address
4690 S Lakeshore Dr Apt 3056Tempe, AZ 85282-1174
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