Grady Congleton
Grady Congleton is an Athletic Trainer in East Hampton, New York. Practices as a sole proprietor. Licensed in Massachusetts and New York.
- Licensed in
- MA, NY
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
18 Goodfriend DrEast Hampton, NY 11937-2584
Phone: (631) 907-5000
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 002583 (NY) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 2451 (MA) |
Record details
| NPI number | 1205264033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2013 |
| Last updated in NPPES | October 14, 2013 |
| Mailing address | 18 Goodfriend Dr, East Hampton, NY 11937-2584 |