Provider Demographics
NPI:1073649992
Name:STEELE, GREGORY JON (ATC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:JON
Last Name:STEELE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 MORSE DR
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2823
Mailing Address - Country:US
Mailing Address - Phone:508-286-3986
Mailing Address - Fax:508-286-5657
Practice Address - Street 1:24 EAST MAIN ST
Practice Address - Street 2:WHEATON COLLEGE, DEPARTMENT OF ATHLETICS
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766
Practice Address - Country:US
Practice Address - Phone:508-286-3986
Practice Address - Fax:508-286-5657
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5542255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer