Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES HENRY GREENE III, MS, PT, ATC
ActiveMR. CHARLES HENRY GREENE III, MS, PT, ATC is a Athletic Trainer healthcare provider located in ALBANY, Missouri. NPI 1073554986 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ALBANY, MO
Registration Details
- NPI Number
- 1073554986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2006 (20.172491713437 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
104902 (MO)1101879 (KS)104902 (MO)1068862 (MO)
Practice Information
- Address
-
203 S POLK STALBANY, MO, 644021618Browse MO providers · Browse ZIP 64402
- Phone
- 6607265762
- Fax
- 6607265764
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Environmental Modification (OT)
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.