SearchKentucky174400000X

David Green, MA, LAT, ATC

NPI 1346213071 · on the registry since 2006 · sole proprietor

Practice

Address
521 Lancaster Ave. Moberly 203
Eastern Kentucky University
Richmond, KY 40475
Phone
(859) 622-2140
Fax
(859) 622-8857

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky