Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUSTIN WAYNE GREEN, ATC, LAT
Active Sole ProprietorDUSTIN WAYNE GREEN, ATC, LAT is a Athletic Trainer healthcare provider located in ALEXANDRIA, Minnesota. NPI 1205460458 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ALEXANDRIA, MN
Registration Details
- NPI Number
- 1205460458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2020 (6.4213281567316 yrs)
- Last Updated
- Feb 26, 2020
- License
-
3304 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 17TH AVE E STE 101ALEXANDRIA, MN, 563083734Browse MN providers · Browse ZIP 56308
- Phone
- 3207621144
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ALEXANDRIA, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. MEAGAN JO CHRISTENSON | ATC | 1407840663 |
| MICHAEL SEAN DOYLE | ATC | 1285628354 |
| MR. PAUL M WESTERBERG | ATC | 1205820388 |
| MR. CHRISTOPHER LEIGH SIEGEL | ATC, CSCS, EMT | 1962492017 |
| MISS JODI LYNN ANDERSON | ATC | 1366418212 |
| MR. RICHARD EARL HARDY | ATC | 1942277686 |
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.