Individual
SPENCER BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(567) 307-7557
Mailing address
116 SUNSET DR, ASHLAND, OH 44805-1559
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004705
OH
2255A2300X
Athletic Trainer
—
OH
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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