Tanner Green, DC, ATC

NPI 1578146841 · on the registry since 2021 · sole proprietor

Practice

Address: 321 Main St
Boonville, MO 65233
Phone: (660) 882-5775
Organisation at this address: Boonville Chiropractic Llc
Holtwick Chiropractic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-04-23

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 Missouri